JAMES REEDER GIRVIN MD
NPI 1851302079
Psychiatry & Neurology - Psychiatry in Westerville, OH
NPI Status: Active since August 11, 2006
Contact Information
700 BROOKSEDGE BLVD
WESTERVILLE, OH
ZIP 43081
Phone: (614) 882-9338
Fax: (614) 882-3401
- Individual
- Male
- Psychiatry & Neurology
- Psychiatry
- Accepts Insurance
- PECOS Enrolled
About JAMES GIRVIN
This page provides the complete NPI Profile along with additional information for James Girvin, a provider established in Westerville, Ohio with a medical specialization in Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1851302079 assigned on August 2006. The practitioner's primary taxonomy code is 2084P0800X with license number 35059425 (OH). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1851302079
- Provider Name
- JAMES REEDER GIRVIN MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 700 BROOKSEDGE BLVD WESTERVILLE, OH 43081
- Location Phone
- (614) 882-9338
- Location Fax
- (614) 882-3401
- Mailing Address
- 700 BROOKSEDGE BLVD WESTERVILLE, OH 43081
- Mailing Phone
- (614) 882-9338
- Mailing Fax
- (614) 882-3401
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-11-2006
- Last Update Date
- 03-29-2013
- Code Navigator
A psychiatrist like James Girvin 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.
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.
- 35059425
- License State
- OH
- 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:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Anthem Bronze Pathway HMO 7450 for HSA - HMO
- Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Catastrophic Pathway HMO 9200 - HMO
- Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Blue ACA StandardHealth Silver with Health Choice - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- Bronze 10 - HMO
- Bronze 8 - HMO
- Bronze 9 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
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 |
|---|---|---|---|
| 0716635 | MEDICARE ID-TYPE UNSPECIFIED (04) | OH |
Medicare Participation & PECOS Enrollment Status
James Girvin 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
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
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Telephone medical discussion with physician, 21-30 minutes
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
This service was performed 36 times for 14 patientsPhysician 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 43081 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $166.65
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.65
- Average New Patient Copayment $41.66
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.66
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.07
- Minimum Established Patient Price $17.1
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $17.01
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* 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 Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 5 | 1 | 3 | 0 | 2 | 0 | 7 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 10 | 1 | 6 | 0 | 4 | 0 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 0 + 1 + 6 + 0 + 4 + 0 + 1 + 4 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1851302079 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1043258767 | CONCORD COUNSELING SERVICES Organization | Counselor (Mental Health) | 700 BROOKSEDGE BLVD WESTERVILLE, OH 43081 (614) 882-9338 |
| 1356511497 | CONCORD COUNSELING SERVICES Organization | Non-Pharmacy Dispensing Site | 700 BROOKSEDGE BLVD WESTERVILLE, OH 43081 (614) 882-9338 |
| 1932462421 | CONCORD COUNSELING SERVICES Organization | Community/Behavioral Health | 700 BROOKSEDGE BLVD WESTERVILLE, OH 43081 (614) 882-9338 |
| 1548353543 | CHRISTINE BRADLEY DO Individual | Psychiatry & Neurology (Psychiatry) | 700 BROOKSEDGE BLVD WESTERVILLE, OH 43081 (614) 882-9338 |
| 1154753754 | ALEXANDRIA RUSHLEY LISW Individual | Social Worker (Clinical) | 700 BROOKSEDGE BLVD WESTERVILLE, OH 43081 (614) 882-9338 |
| 1750467668 | DR. MARILYNN JOANNE PETERS M.D. Individual | Psychiatry & Neurology (Psychiatry) | 700 BROOKSEDGE BLVD WESTERVILLE, OH 43081 (614) 882-9338 |
| 1770970717 | KRIS BROWN Individual | Registered Nurse | 700 BROOKSEDGE BLVD WESTERVILLE, OH 43081 (614) 882-9338 |
| 1164819637 | JENNIFER SHEETS LSW Individual | Social Worker | 700 BROOKSEDGE BLVD WESTERVILLE, OH 43081 (614) 882-9338 |
| 1912394339 | ANGELA R MARSHALL LSW Individual | Social Worker | 700 BROOKSEDGE BLVD WESTERVILLE, OH 43081 (614) 272-0460 |
| 1790172112 | TRICIA LYNNE SCHNELL SWA Individual | Case Manager/Care Coordinator | 700 BROOKSEDGE BLVD WESTERVILLE, OH 43081 (614) 882-9338 |
| 1265829618 | BRIAN BOESS Individual | Case Manager/Care Coordinator | 700 BROOKSEDGE BLVD WESTERVILLE, OH 43081 (614) 882-9338 |
| 1942697339 | EMILY WATTS MSW, LSW Individual | Social Worker | 700 BROOKSEDGE BLVD WESTERVILLE, OH 43081 (614) 882-9338 |
| 1992192306 | JENNIFER MALONE LSW Individual | Social Worker | 700 BROOKSEDGE BLVD WESTERVILLE, OH 43081 (614) 882-9338 |
| 1366839771 | MS. SHELLIE JOI SHANKLIN Individual | Case Manager/Care Coordinator | 700 BROOKSEDGE BLVD WESTERVILLE, OH 43081 (614) 882-9338 |
| 1174910582 | JULIE MARIE COCHRAN LSW Individual | Social Worker | 700 BROOKSEDGE BLVD WESTERVILLE, OH 43081 (614) 882-9338 |
| 1154718419 | MARY ANSLEY Individual | Counselor (Mental Health) | 700 BROOKSEDGE BLVD WESTERVILLE, OH 43081 (614) 975-0764 |
| 1295122612 | MR. WILLIAM ALLEN WOLFE II LSW Individual | Social Worker | 700 BROOKSEDGE BLVD WESTERVILLE, OH 43081 (614) 882-9338 |
| 1780071100 | MELAINA VITARELLA Individual | Case Manager/Care Coordinator | 700 BROOKSEDGE BLVD WESTERVILLE, OH 43081 (614) 882-9338 |
| 1376930792 | KEITH ERDMANN Individual | Case Manager/Care Coordinator | 700 BROOKSEDGE BLVD WESTERVILLE, OH 43081 (614) 882-9338 |
| 1114314432 | CARLY SKILLINGTON Individual | Social Worker | 700 BROOKSEDGE BLVD WESTERVILLE, OH 43081 (614) 882-9338 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851302079, enumerated in the NPI registry as an "individual" on August 11, 2006
The provider is located at 700 Brooksedge Blvd Westerville, Oh 43081 and the phone number is (614) 882-9338
The provider's speciality is Psychiatry & Neurology with taxonomy code 2084P0800X with a focus in Psychiatry
The provider might be accepting Accepts: Aetna CVS Health, Anthem Blue Cross and Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary 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.
Medicare beneficiaries should expect a typical cost of $166.65 with an average copayment of $41.66 for new patient appointments. Established patients should expect a typical charge of $68.07 and an average copayment of 17.01. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Telephone medical discussion with physician, 21-30 minutes.
This NPI record was last updated on August 11, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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