Provider Demographics
NPI:1215163043
Name:JAMES R. LAMOTT, PH.D., P.C.
Entity type:Organization
Organization Name:JAMES R. LAMOTT, PH.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:LAMOTT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:301-371-7595
Mailing Address - Street 1:5018 WHISPERING PINES LANE
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-3542
Mailing Address - Country:US
Mailing Address - Phone:301-371-7595
Mailing Address - Fax:
Practice Address - Street 1:5018 WHISPERING PINES LN
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-3542
Practice Address - Country:US
Practice Address - Phone:301-371-7595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-08
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD0700103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC154552Medicare PIN