Mcgovern, James M
Mcgovern, James M is an sole proprietor health care provider with primary practice located at 1023 Manatee Ave W Ste 302 , Bradenton FL 34205-7816. He recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Rehabilitation, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Mcgovern, James M can be contacted via phone (941) 405-6413.Contact Information
Primary practice address
1023 Manatee Ave W Ste 302
Bradenton FL 34205-7816
Phone: (941) 405-6413
Fax: (941) 216-3323
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY4238 | Florida |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | PY4238 | Florida |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY4238 | Florida |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PY4238 | Florida |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | PY4238 | Florida |
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | PY4238 | Florida |
| Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X | PY4238 | Florida |
| Behavioral Health & Social Service Providers / Rehabilitation | 103TR0400X | PY4238 | Florida |
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PY4238 | Florida |
Profile Details
| NPI number | 1811982598 |
|---|---|
| LBN Legal business name | Mcgovern, James M |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 19th, 2005 |
| Last updated | Jul 21st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811982598 | NPPES |
| Florida | Other | 680010165 | RAIL ROAD MEDICARE |
| Florida | Other | 73532 | RAIL ROAD MEDICARE |
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