Healthcare Provider Details

I. General information

NPI: 1174575013
Provider Name (Legal Business Name): JAMES FREDERICK CAHILL JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 GAIL GARDNER WAY STE 300
PRESCOTT AZ
86305-1640
US

IV. Provider business mailing address

PO BOX 10880
PRESCOTT AZ
86304-0880
US

V. Phone/Fax

Practice location:
  • Phone: 928-717-5240
  • Fax: 928-717-5238
Mailing address:
  • Phone: 602-406-4786
  • Fax: 916-636-4358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number22291
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: