Provider Demographics
NPI:1093853996
Name:SCHALLER, JAMES LOUIS (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:LOUIS
Last Name:SCHALLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4566 CHAT CT
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-8923
Mailing Address - Country:US
Mailing Address - Phone:239-263-0133
Mailing Address - Fax:239-631-2346
Practice Address - Street 1:5150 TAMIAMI TRL N
Practice Address - Street 2:SUITE #305
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-2812
Practice Address - Country:US
Practice Address - Phone:239-263-0133
Practice Address - Fax:239-263-6760
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2015-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME860962084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF70883Medicare UPIN