Provider Demographics
NPI:1144373101
Name:MCVEY, JAMES M (PHD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M
Last Name:MCVEY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2100 PIPERS FIELD DR
Mailing Address - Street 2:#52
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-2593
Mailing Address - Country:US
Mailing Address - Phone:512-567-4840
Mailing Address - Fax:512-837-3131
Practice Address - Street 1:10111 GOLDEN MEADOW DR
Practice Address - Street 2:#D
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-4953
Practice Address - Country:US
Practice Address - Phone:512-567-4840
Practice Address - Fax:512-837-3131
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13416101YP2500X
TX32164103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX610939Medicare ID - Type Unspecified