Provider Demographics
NPI:1700986841
Name:PIER, JAMES WILLIAM (PHD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:WILLIAM
Last Name:PIER
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 1:609 W JOHNSON AVE STE 106
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-4506
Mailing Address - Country:US
Mailing Address - Phone:203-272-6006
Mailing Address - Fax:
Practice Address - Street 1:700 W JOHNSON AVE STE 310
Practice Address - Street 2:SUITE 310
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410-1197
Practice Address - Country:US
Practice Address - Phone:203-272-6007
Practice Address - Fax:203-272-8895
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001864174400000X, 103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT060001864CT07OtherANTHEM BC/BS
CT004134673Medicaid
CT680001354Medicare ID - Type Unspecified