Provider Demographics
NPI:1811059439
Name:KRAUT, JAMES N (PSY D PA)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:N
Last Name:KRAUT
Suffix:
Gender:M
Credentials:PSY D PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3111 N UNIVERSITY DR
Mailing Address - Street 2:SUITE 429
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-5086
Mailing Address - Country:US
Mailing Address - Phone:954-757-1400
Mailing Address - Fax:954-757-3232
Practice Address - Street 1:3111 N UNIVERSITY DR
Practice Address - Street 2:SUITE 429
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-5086
Practice Address - Country:US
Practice Address - Phone:954-757-1400
Practice Address - Fax:954-757-3232
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFL#PY4990103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL59472XMedicare PIN
FL59472Medicare PIN