Jacinda Celeste Tucker, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

37866 Issued in TX

Practice address

2180 North Loop W Ste 300
Houston, TX 77018-8013

Phone

(713) 513-0467

NPI assigned

Aug 14, 2018

Last updated

Aug 14, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Azalea Health Services Texas LLC

  • Clinical Social Worker
  • New Braunfels, TX
  • NPI 1326871807
  Medicare reassignment
• Deer Oaks Mental Health Associates PC

  • Clinical Psychologist
  • Las Cruces, NM
  • NPI 1134175763
  NPD (past)

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1053891655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 NORTH LOOP W STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770188013",
            "telephone_number": "713-513-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 NORTH LOOP W STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770188013",
            "telephone_number": "713-513-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "JACINDA",
        "middle_name": "CELESTE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "37866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne M Tucker, PHARMD
• Bryan Michael Tucker, D.O., M.S.
• Cecelia Lorraine Tucker, DNP, RN, AGACNP-BC
• Denice Tucker, OTR
• Helle Borgen Tucker, PHARM.D.
• Jennifer Leigh Tucker, M.S, LPC-S
• Jill Ahrens Tucker, M.ED., LPC-S
• Judith Tucker, PA-C
• Latonia Tucker
• Laurel M Tucker, M.D.

• Clinical Psychologist in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.