Provider Demographics
NPI:1396800348
Name:FELDMAN, JAMES HOWARD (PHD, LCSW)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:HOWARD
Last Name:FELDMAN
Suffix:
Gender:M
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1678 CHESTERTOWN RD
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-1629
Mailing Address - Country:US
Mailing Address - Phone:610-442-0599
Mailing Address - Fax:
Practice Address - Street 1:755 MEMORIAL PKWY
Practice Address - Street 2:SUITE 206
Practice Address - City:PHILLIPSBURG
Practice Address - State:NJ
Practice Address - Zip Code:08865-2748
Practice Address - Country:US
Practice Address - Phone:610-442-0599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2012-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC052059001041C0700X
PACW0148911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP3640334OtherOXFORD HEALTH PLAN
NJ723180000OtherMAGELLAN BEHAVIORAL HEALT
NJ723180000OtherAETNA BEHAVIORAL HEALTH
NJ723180000OtherAETNA BEHAVIORAL HEALTH