Provider Demographics
NPI:1881043214
Name:ROCKWOOD, JAMES
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:ROCKWOOD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2828 W PARKER RD
Mailing Address - Street 2:#208
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-9153
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2828 W PARKER RD
Practice Address - Street 2:#208
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-9153
Practice Address - Country:US
Practice Address - Phone:972-599-0850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-07
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3477101YP2500X
TX732106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional