Provider Demographics
NPI:1245310077
Name:SCHWARZ, JAMES M (ED D)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M
Last Name:SCHWARZ
Suffix:
Gender:M
Credentials:ED D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:955 FAIRVIEW ST
Mailing Address - Street 2:
Mailing Address - City:LEE
Mailing Address - State:MA
Mailing Address - Zip Code:01238-9305
Mailing Address - Country:US
Mailing Address - Phone:508-695-0517
Mailing Address - Fax:508-695-0517
Practice Address - Street 1:955 FAIRVIEW ST
Practice Address - Street 2:
Practice Address - City:LEE
Practice Address - State:MA
Practice Address - Zip Code:01238-9305
Practice Address - Country:US
Practice Address - Phone:508-695-0517
Practice Address - Fax:508-695-0517
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3313103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
224585000OtherMAGELLAN
MAW03900OtherBLUE CROSS BLUE SHEILD
2046384OtherHEALTH CARE VALUE MANAGEM
04350251501OtherPACIFICARE
10048255745OtherBEACON HEALTH STRATEGIES
5564609OtherAETNA
6120058OtherUNITED BEHAVIORAL HEALTH
MA776819OtherTUFTS HEALTHCARE
11255031OtherCAQH