JAMES R HICKS MD
NPI 1710919840
Psychiatry & Neurology - Psychiatry in Phoenix, AZ

NPI Status: Active since July 07, 2006

Contact Information

14001 N 7TH ST
SUITE B104
PHOENIX, AZ
ZIP 85022
Phone: (602) 993-2959
Fax: (602) 548-5881

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  • Individual
  • Male
  • Psychiatry & Neurology
  • Psychiatry
  • PECOS Enrolled
  • Opted-Out Medicare

About JAMES HICKS

This page provides the complete NPI Profile along with additional information for James Hicks, a provider established in Phoenix, Arizona with a medical specialization in Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1710919840 assigned on July 2006. The practitioner's primary taxonomy code is 2084P0800X with license number 13871 (AZ). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1710919840
Provider Name
JAMES R HICKS MD
Gender
Male
Entity Type
Individual
Location Address
14001 N 7TH ST SUITE B104 PHOENIX, AZ 85022
Location Phone
(602) 993-2959
Location Fax
(602) 548-5881
Mailing Address
14001 N 7TH ST SUITE B104 PHOENIX, AZ 85022
Mailing Phone
(602) 993-2959
Mailing Fax
(602) 548-5881
Is Sole Proprietor?
No
Enumeration Date
07-07-2006
Last Update Date
07-08-2007
Code Navigator

A psychiatrist like James Hicks are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. James Hicks opted out of Medicare effective on 05-21-2020 until 05-21-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Psychiatry

Taxonomy Code
2084P0800X
Type
Allopathic & Osteopathic Physicians
License No.
13871
License State
AZ
Taxonomy Description
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
44041MEDICARE UPIN (02) 
79094MEDICARE ID-TYPE UNSPECIFIED (04) 

Medicare Participation & PECOS Enrollment Status

James Hicks is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 05-21-2020

  • Opt-Out End Date: 05-21-2026

  • Eligible to Order and Refer? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 85022 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $168.6
  • Minimum New Patient Price $55.44
  • Maximum New Patient Price $168.6
  • Average New Patient Copayment $42.15
  • Minimum New Patient Copayment $13.86
  • Maximum New Patient Copayment $42.15

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $69.24
  • Minimum Established Patient Price $17.72
  • Maximum Established Patient Price $137.41
  • Average Established Patient Copayment $17.31
  • Minimum Established Patient Copayment $4.43
  • Maximum Established Patient Copayment $34.35

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1710919840, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
1
Doubled → 2
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
1
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
8
Unchanged
Pos 9
4
Doubled → 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 9 → 18 → 9 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 2 + 0 + 1 + 8 + 1 + 1 + 8 + 8 + 8 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1710919840.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Social Worker
14001 N 7TH ST, SUITE B-104
PHOENIX, AZ 85022
Optometrist
14001 N 7TH ST, #B-103
PHOENIX, AZ 85022
Clinic/Center
14001 N 7TH ST, SUITE G114
PHOENIX, AZ 85022
Clinic/Center (Physical Therapy)
14001 N 7TH ST, A-102
PHOENIX, AZ 85022
Psychiatry & Neurology (Psychiatry)
14001 N 7TH ST, STE E110
PHOENIX, AZ 85022
Social Worker
14001 N 7TH ST, SUITE B104
PHOENIX, AZ 85022
Psychiatry & Neurology (Psychiatry)
14001 N 7TH ST, B104
PHOENIX, AZ 85022
Dentist
14001 N 7TH ST, D108
PHOENIX, AZ 85022
Counselor (Mental Health)
14001 N 7TH ST, SUITE B-104
PHOENIX, AZ 85022
Pediatrics
14001 N 7TH ST, BUILDING G, SUITE 114
PHOENIX, AZ 85022
Nurse Practitioner (Pediatrics)
14001 N 7TH ST, SUITE G114
PHOENIX, AZ 85022
Pain Medicine (Pain Medicine)
14001 N 7TH ST, B-104
PHOENIX, AZ 85022
Optometrist
14001 N 7TH ST, B-103
PHOENIX, AZ 85022
Psychologist
14001 N 7TH ST, SUITE 111 BLDG. F
PHOENIX, AZ 85022
Clinic/Center (Adult Mental Health)
14001 N 7TH ST, STE E110
PHOENIX, AZ 85022
Clinic/Center (Adult Mental Health)
14001 N 7TH ST, SUITE B-104
PHOENIX, AZ 85022
Dentist
14001 N 7TH ST, C 105
PHOENIX, AZ 85022
Massage Therapist
14001 N 7TH ST, E-109
PHOENIX, AZ 85022

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710919840, enumerated as an "individual" on July 07, 2006.

The provider is located at 14001 N 7TH ST SUITE B104 PHOENIX, AZ 85022 and the phone number is (602) 993-2959.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.