James A Wakefield Jr, PHD is a
Psychologist - Clinical based in Incline Village, Nevada. James A Wakefield Jr is licensed to practice in California (license number PSY11298) and his current practice location is
696 Village Blvd Unit 27, Incline Village, Nevada. He can be reached at his office (for appointments etc.) via phone at
(209) 769-9409.
NPI number for James A Wakefield Jr is 1831659077 and his current mailing address is Po Box 5754, Incline Village, Nevada. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1831659077.
Healthcare Provider's Profile
| Full Name | James A Wakefield Jr |
|---|
| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 696 Village Blvd Unit 27, Incline Village, Nevada |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1831659077
- Provider Enumeration Date: 03/22/2019
- Last Update Date: 03/22/2019
Medical Identifiers
Medical identifiers for James A Wakefield Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831659077 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | PSY11298 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. James A Wakefield Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
James A Wakefield Jr, PHD
Po Box 5754,
Incline Village, NV 89450-5754
Ph: (209) 769-9409 | James A Wakefield Jr, PHD
696 Village Blvd Unit 27,
Incline Village, NV 89451-9098
Ph: (209) 769-9409 |
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