Provider Demographics
NPI:1346055878
Name:BARNETT, JAMES MAXWELL (CCSS)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:MAXWELL
Last Name:BARNETT
Suffix:
Gender:M
Credentials:CCSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2015 WYOMING BLVD NE STE J
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112-2646
Mailing Address - Country:US
Mailing Address - Phone:505-226-4359
Mailing Address - Fax:
Practice Address - Street 1:2015 WYOMING BLVD NE STE J
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-2646
Practice Address - Country:US
Practice Address - Phone:505-226-4359
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator