Provider Demographics
NPI:1871520270
Name:ENGLISH, JAMES THOMAS (PHD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:THOMAS
Last Name:ENGLISH
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 STONEHENGE DR
Mailing Address - Street 2:SUITE202
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-4379
Mailing Address - Country:US
Mailing Address - Phone:919-847-2197
Mailing Address - Fax:919-846-7748
Practice Address - Street 1:2301 STONEHENGE DR
Practice Address - Street 2:SUITE202
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-4379
Practice Address - Country:US
Practice Address - Phone:919-847-2197
Practice Address - Fax:919-846-7748
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1417103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6000655Medicaid
NC6000655Medicaid