Individual provider Active NPI

James R. Pontau Jr., PH.D

  • Psychologist
  • Chagrin Falls, OH
National Provider Identifier
1992243851
Registry record updated Jan 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
7533 Issued in OH
Practice address
9826 E. Washington St
Chagrin Falls, OH 44023-5486
Phone
(440) 708-0188
Fax
(440) 708-0368
NPI assigned
Feb 10, 2017
Last updated
Jan 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 7533 OH
Psychologist 103T00000X 7533 OH Primary
Forensic Psychologist 103TF0200X 7533 OH
Rehabilitation Psychologist 103TR0400X 7533 OH
Health Psychologist 103TH0004X 7533 OH

Addresses

Primary practice location

9826 E. Washington St
Chagrin Falls, OH 44023-5486

Mailing address

9826 E. Washington St
Chagrin Falls, OH 44023-5486
Phone (440) 708-0188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180525001062 OH Practitioner - Clinical Psychologist 9234494097 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Metrohealth SystemGroup PAC ID 8628982949, 1,150 clinicians

Practice addresses (Care Compare)

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-7800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
State of Ohio Office of Budget and Management State Accounting Current Accepting new patients
The Metrohealth System CurrentSince May 1, 2024 Accepting new patients
Florence Kimbo M.D., LLC CurrentSince Sep 11, 2018 Accepting new patients
The Metrohealth System Current Accepting new patients
State of Ohio Office of Budget and Management State Accounting CurrentSince Apr 10, 2018 Accepting new patients
State of Ohio Office of Budget and Management State Accounting CurrentSince Apr 10, 2018 Accepting new patients
The Metrohealth System CurrentSince May 1, 2024 Accepting new patients
Jones-Wood Psychological Associates, Inc. Psychologist PastSince Jun 18, 2014 Accepting new patients

Locations

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

30 E Broad St
Fl 11
Columbus, OH 43215
Phone (614) 466-9930

3090 W Market St
Ste 119
Fairlawn, OH 44333
Phone 4402348746 ext. 48746

3000 Erie St S
Massillon, OH 44646
Phone (330) 833-3135

18660 Bagley Rd
Bldg 1
Middleburg Heights, OH 44130
Phone (440) 234-8746

7530 Lucerne Dr
Ste 110
Middleburg Heights, OH 44130
Phone 4402348746 ext. 48746

Interoperability endpoints

  • Direct secure messaging: jpontau276531@direct.metrohealth.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516060800000",
    "number": "1992243851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9826 E. WASHINGTON ST",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440235486",
            "telephone_number": "440-708-0188",
            "fax_number": "440-708-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9826 E. WASHINGTON ST",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440235486",
            "telephone_number": "440-708-0188",
            "fax_number": "440-708-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONTAU",
        "first_name": "JAMES",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-10",
        "last_updated": "2018-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "OH",
            "license": "7533",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "7533",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "OH",
            "license": "7533",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "OH",
            "license": "7533",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "OH",
            "license": "7533",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chagrin Falls, OH

Sources for this page

Verify at the official NPI Registry.