Provider Demographics
NPI:1174742126
Name:MARGOLIS, JAMES K (PHD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:K
Last Name:MARGOLIS
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 1:1045 S CEDAR CREST BLVD
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-5443
Mailing Address - Country:US
Mailing Address - Phone:610-433-3360
Mailing Address - Fax:610-432-3110
Practice Address - Street 1:1045 S CEDAR CREST BLVD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-5443
Practice Address - Country:US
Practice Address - Phone:610-433-3360
Practice Address - Fax:610-432-3110
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS004698-L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA232429262OtherTAX IDENTIFICATION NO.
PA01866802OtherCAPITAL BLUE CROSS PROVID
PA02303300OtherCAPITAL BLUE CROSS GROUP
PA235642OtherVALUE OPTIONS PROVIDER NO
PA128420000OtherMAGELLAN HEALTH SERVICES
PA484903OtherHIGHMARK BLUE SHIELD PROV
PA790963391OtherDUNS NO.
PA1336100387OtherVALLEY PSYCHOLOGICAL ASSO
PA02303300OtherCAPITAL BLUE CROSS GROUP
PA02303300OtherCAPITAL BLUE CROSS GROUP
PA790963391OtherDUNS NO.