National Provider Identifier Database

JAMES W MIKESELL, PhD – NPI #1194816512
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

JAMES W MIKESELL, PhD
7000 E GENESEE ST BLDG C
FAYETTEVILLE, NY13066
Phone: 315-449-0117
Fax: 315-449-9623
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X
Clinical Neuropsychologist 103G00000X

* Indicates primary specialty

NPI Profile & details for JAMES W MIKESELL

NPI Number 1194816512
Credentials PhD
Entity Individual
Enumeration date 09/28/2006
Last updated 06/11/2019 - About 7 years ago
Sole proprietor1 Yes
Identifiers
  • NY License #: 010649
  • NY Medicaid: 018238858
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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