Active NPI
John Thomas Lacy, PHD
- Psychologist
- Spring, TX
National Provider Identifier
1043995376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 37615
- Practice address
- 6220 FM 2920 Rd Apt 831
Spring, TX 77379-3591 - Phone
- (817) 917-1191
- NPI assigned
- Jun 15, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5068-57 | WI | |
| Psychologist | 103T00000X | 37615 | TX | Primary |
Addresses
Primary practice location
6220 FM 2920 Rd Apt 831
Spring, TX 77379-3591
Mailing address
6220 FM 2920 Rd Apt 831
Spring, TX 77379-3591
Phone (817) 917-1191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37615 | TX | MD | Psychologist |
| 5068-57 | WI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686787200000",
"number": "1043995376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6220 FM 2920 RD APT 831",
"city": "SPRING",
"state": "TX",
"postal_code": "773793591",
"telephone_number": "817-917-1191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6220 FM 2920 RD APT 831",
"city": "SPRING",
"state": "TX",
"postal_code": "773793591",
"telephone_number": "817-917-1191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACY",
"first_name": "JOHN",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-15",
"last_updated": "2023-06-15",
"certification_date": "2023-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "5068-57",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "37615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.