Provider Demographics
NPI:1619143641
Name:SPIRA, JAMES LIONEL (PHD, MPH, ABPP)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:LIONEL
Last Name:SPIRA
Suffix:
Gender:M
Credentials:PHD, MPH, ABPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 13087
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94661-0087
Mailing Address - Country:US
Mailing Address - Phone:808-225-2193
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 13087
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94661-0087
Practice Address - Country:US
Practice Address - Phone:808-225-2193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-30
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1332103TC0700X, 103TH0004X
CA34093103TH0004X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth