Provider Demographics
NPI:1386730638
Name:DR JAMES MCKEE P.H.D.
Entity type:Organization
Organization Name:DR JAMES MCKEE P.H.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:P.H.D.
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCKEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-240-8822
Mailing Address - Street 1:PO BOX 1144
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81402-1144
Mailing Address - Country:US
Mailing Address - Phone:970-240-8822
Mailing Address - Fax:970-240-8823
Practice Address - Street 1:4470 COUNTY ROAD 22
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-9479
Practice Address - Country:US
Practice Address - Phone:970-240-8822
Practice Address - Fax:970-240-8823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO86276103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COS19261Medicare UPIN
COC65396Medicare ID - Type Unspecified