JAMES H. EASTLICK, Psy.D. — NPI 1689795924 (Licensed & Credentialed Behavioral Health & Social Service Providers

CMS-1500 Box 24J / 33a • NPI

1689795924

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

103TC0700X (CMS 62)

Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical

Box 32 Service Location & ZIP+4

RR 1 BOX 664, BOX ELDER, MT, 59521-9797

✓ 9-Digit EDI 837 ZIP+4 (59521-9797)

Practice Phone & Referral Fax

(406) 395-4486

Fax: (406) 395-4313

⚠️ HHS OIG LEIE FEDERAL EXCLUSION ALERT: NPI 1689795924 matches an active entry in the HHS Office of Inspector General List of Excluded Individuals/Entities (Sec. 1128(a)(3) — Felony Health Care Fraud Conviction — Effective 2017-05-18). Verify before submitting Medicare/Medicaid claims.

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1689795924` (NPI-1 Individual Practitioner)
Provider / Legal Name	JAMES H. EASTLICK, Psy.D.
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical NUCC Code: `103TC0700X` (Psychologist, Clinical)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	RR 1 BOX 664, BOX ELDER, MT, 59521-9797
Practice Telephone / Fax	Tel: (406) 395-4486 \| Fax: (406) 395-4313
Administrative Mailing Address	76 19TH ST, HAVRE, MT, 59501-5212
Enumeration & Last Sync	Enumerated: 2007-04-03 \| CMS Record Updated: 2007-07-08

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

RR 1 BOX 664, BOX ELDER, MT, 59521-9797

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Plain-English Taxonomy & CMS Crosswalk (103TC0700X)

What Does Taxonomy Code 103TC0700X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TC0700X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 62 (Psychologist, Clinical) • CMS Code 68 (Psychologist, Clinical)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Psychologist, Clinical for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JAMES H. EASTLICK, Psy.D.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103TC0700X` — Psychologist, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical	State: AR \| License: `97-23P` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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JAMES H. EASTLICK, Psy.D. (NPI #1689795924)