Provider Demographics
NPI:1689755738
Name:ELIZABETH M. JAMES, INC.
Entity Type:Organization
Organization Name:ELIZABETH M. JAMES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:M
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:702-641-2422
Mailing Address - Street 1:1771 E FLAMINGO RD
Mailing Address - Street 2:SUITE 112-B
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-5155
Mailing Address - Country:US
Mailing Address - Phone:702-641-2422
Mailing Address - Fax:702-893-9655
Practice Address - Street 1:1771 E FLAMINGO RD
Practice Address - Street 2:SUITE 112-B
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5155
Practice Address - Country:US
Practice Address - Phone:702-641-2422
Practice Address - Fax:702-893-9655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPY0336103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV37000Medicare ID - Type UnspecifiedGROUP NUMBER
NVV37001Medicare ID - Type UnspecifiedPROVIDER NUMBER