| J. Harrison Adams, Phd | |
|
453 Cerrillos Rd Santa Fe NM 87501-3784 | |
| (505) 690-4797 | |
| (505) 989-8683 |
| Full Name | J. Harrison Adams, Phd |
|---|---|
| Speciality | Psychologist |
| Location | 453 Cerrillos Rd, Santa Fe, New Mexico |
| Authorized Official Name and Position | James Harrison Adams (OWNER MEMBER) |
| Authorized Official Contact | 5056904797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Harrison Adams, Phd Po Box 31428 Santa Fe NM 87594-1428 Ph: (505) 690-4797 | J. Harrison Adams, Phd 453 Cerrillos Rd Santa Fe NM 87501-3784 Ph: (505) 690-4797 |
| NPI Number | 1801993480 |
|---|---|
| Provider Enumeration Date | 09/17/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2062412877 |
|---|---|
| Medicare Enrollment ID | O20061229000317 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801993480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 729 (New Mexico) | Primary |
| Provider Name | James H Adams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801993472 PECOS PAC ID: 5991774507 Enrollment ID: I20040930000396 |
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