Provider Demographics
NPI:1215692520
Name:JAMES, ROBERT (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:JAMES
Suffix:
Gender:M
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CPEC , COMMUNITY PSYCHIATRIC CENTER. 358 E. JAVELINA AV
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210-9029
Mailing Address - Country:US
Mailing Address - Phone:480-507-3180
Mailing Address - Fax:
Practice Address - Street 1:4516 JAYLIN ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76244-9029
Practice Address - Country:US
Practice Address - Phone:817-894-0710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-02
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ270278363LP0808X
TX1058021363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health