Healthcare Provider Details
I. General information
NPI: 1528194032
Provider Name (Legal Business Name): JAMES JEFFREY MUIR PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/26/2007
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
150 MUIR RD BLDG 23
MARTINEZ CA
94553-4668
US
IV. Provider business mailing address
150 MUIR RD BLDG 23
MARTINEZ CA
94553-4668
US
V. Phone/Fax
- Phone: 925-372-2000
- Fax: 925-370-4036
- Phone: 925-372-2000
- Fax: 925-370-4036
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | PSY19882 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103G00000X |
| Taxonomy | Clinical Neuropsychologist |
| License Number | PSY19882 |
| License Number State | CA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TR0400X |
| Taxonomy | Rehabilitation Psychologist |
| License Number | PSY19882 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: