James S Anthony in White Bear Lake - Psychologist
James S Anthony - NPI 1255431243
James S Anthony is a Psychologist in White Bear Lake, Minnesota. James S Anthony practices all healthcare services and medical treatments related to Psychologist. The NPI Number for James S Anthony is 1255431243. The last update date is 2022-07-21.
James S Anthony's current location address is 4444 Centerville Road, White Bear Lake, Minnesota. You can contact this provider via phone number 6512893111 and fax number 6512893113. The mailing address for James S Anthony is 4444 Centerville Road, White Bear Lake, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | James S Anthony |
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Address | 4444 Centerville Road, White Bear Lake, Minnesota |
Phone Number | 6512893111 |
Fax Number | 6512893113 |
Sole Proprietor | N |
Credentials | PHD, LP |
NPI Number Detail
NPI Number | 1255431243 |
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Provider Enumeration Date | 2006-09-22 |
Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
Address | 4444 Centerville Road |
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City | White Bear Lake |
State | Minnesota (MN) |
Post Code | 551273712 |
Phone Number | 6512893111 |
Fax Number | 6512893113 |
Provider's Primary Taxonomy Detail
Speciality | Psychologist |
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Taxonomy | 103T00000X |
Licence No | LP1905 |
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
103077 | MN | U CARE | |
202550700 | MN | -- | |
21390CE-47774AN | MN | BC/BS | |
61-13267 | MN | UBH |
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What is the unique 10-digit identification code issued to James S Anthony by the Centers for Medicare & Medicaid Services?
The James S Anthony has been assigned the NPI (National Provider Identifier) 1255431243 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the James S Anthony's physical address?
The James S Anthony is physically located at 4444 Centerville Road, in the city of White Bear Lake, MN, with the postal code 551273712.
What is the James S Anthony's area of specialization and corresponding taxonomy classification?
The James S Anthony's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1255431243 to James S Anthony?
The Centers for Medicare & Medicaid Services assigned the 1255431243 to James S Anthony on 2006-09-22.
As of what date were the details related to James S Anthony most recently updated or revised?
The information pertaining to James S Anthony, including its address, specialty, and other relevant details, was last updated or revised on 2022-07-21.