NPIMap

Organization Active NPI

Sethna Psych Associates, P.a.

  • Psychologist
  • Houston, TX
National Provider Identifier
1053653568
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
36319 Issued in TX
Legal business name
SETHNA PSYCH ASSOCIATES, P.A.
Practice address
17115 Red Oak Dr
Suite 220
Houston, TX 77090-2641
Phone
(281) 397-0200
NPI assigned
Mar 22, 2013
Last updated
Mar 22, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
SETHNA PSYCH ASSOCIATES, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jimmy P. Sethna, PSY.D.NPI 1558603068
Title
President
Phone
(281) 397-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X NU
Psychologist 103T00000X 36319 TX Primary
Clinical Psychologist 103TC0700X NU

Addresses

Primary practice location

17115 Red Oak Dr
Suite 220
Houston, TX 77090-2641

Mailing address

17115 Red Oak Drive
Suite 220
Houston, TX 77090
Phone (281) 397-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130722000218 TX Part B Supplier - Clinic/Group Practice 7517108376 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory
Part of
Sethna Psych Associates PA

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1053653568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17115 RED OAK DRIVE",
            "address_2": "SUITE 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77090",
            "telephone_number": "281-397-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17115 RED OAK DR",
            "address_2": "SUITE 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902641",
            "telephone_number": "281-397-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SETHNA PSYCH ASSOCIATES, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SETHNA PSYCH ASSOCIATES, P.A.",
        "enumeration_date": "2013-03-22",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "SETHNA",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-397-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "36319",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.