Provider Demographics
NPI:1871716639
Name:OGILVIE, JAMES (PHD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:OGILVIE
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 1:145 E 35TH ST
Mailing Address - Street 2:SUITE 5FE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-4177
Mailing Address - Country:US
Mailing Address - Phone:212-983-5740
Mailing Address - Fax:
Practice Address - Street 1:145 E 35TH ST
Practice Address - Street 2:SUITE 5FE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-4177
Practice Address - Country:US
Practice Address - Phone:212-983-5740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2009-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013747103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical