Organization Active NPI

Therapeutic Alliance and Testing Center, LLC

  • Psychologist
  • Missouri City, TX
National Provider Identifier
1063109536
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
THERAPEUTIC ALLIANCE AND TESTING CENTER, LLC
Practice address
7070 Knights CT Ste 1301
Missouri City, TX 77459-5225
Phone
(713) 859-8240
NPI assigned
Apr 24, 2023
Last updated
Sep 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Authorized official

Name
Jacqueline Jones McKinney, PHD
Title
Owner
Phone
(713) 859-8240

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Psychologist 103T00000X NU Primary
Clinical Social Worker 1041C0700X NU
Podiatrist 213E00000X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU

Addresses

Primary practice location

7070 Knights CT Ste 1301
Missouri City, TX 77459-5225

Mailing address

7070 Kights CT
Ste 1301
Missouri City, TX 77459-6855
Phone (713) 859-8240

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230628000621 TX Part B Supplier - Clinic/Group Practice 3678931318 Receives reassigned benefits from 7 practitioners
Practice locations: Missouri City, TX

National Provider Directory

National Provider Directory

Locations

7070 Knights Ct
Ste 1301
Missouri City, TX 77459
Phone (713) 352-3166

Practitioners & affiliated clinicians

Practitioners 7

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": "1682294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1063109536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7070 KIGHTS CT",
            "address_2": "STE 1301",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774596855",
            "telephone_number": "713-859-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7070 KNIGHTS CT STE 1301",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595225",
            "telephone_number": "713-859-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC ALLIANCE AND TESTING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "JONES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-859-8240",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.