Individual provider Active NPI

Connie Lynn Zajicek, M.D.

  • Psychiatry Physician
  • Houston, TX
National Provider Identifier
1093026320
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
N6790 Issued in TX
Practice address
1941 East Rd RM 3236
Houston, TX 77054-6010
Phone
(713) 486-2570
NPI assigned
Jul 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X N6790 TX Primary

Addresses

Primary practice location

1941 East Rd RM 3236
Houston, TX 77054-6010

Mailing address

1941 East Rd RM 3236
Houston, TX 77054-6010
Phone (713) 486-2570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131022001753 TX Practitioner - Psychiatry 3375778699 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Texas Tech University Health Science Center School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorial Hermann Medical GroupGroup PAC ID 7012008360, 760 clinicians

Practice addresses (Care Compare)

1635 N Loop W
Houston, TX 77008-1532
Phone (713) 867-2066

1635 N Loop W S Tower FL
Suite 1
Houston, TX 77008-1532
Phone (713) 867-2066

1801 N Loop W
Suite 30
Houston, TX 77008-1445
Phone (713) 802-9781

18951 N Memorial Dr
Humble, TX 77338-4217
Phone (281) 540-8409

23900 Katy Fwy
Katy, TX 77494-1323
Phone (281) 644-8111

27800 Northwest Fwy
Cypress, TX 77433-5302
Phone (346) 231-5887

27800 NW Fwy 4201
Cypress, TX 77433-5302
Phone (346) 231-4628

27800 NW Fwy M2 562
Cypress, TX 77433-5302
Phone (346) 231-4495

7600 Beechnut St
Houston, TX 77074-4302

915 Gessner Rd
Suite 100
Houston, TX 77024-2537
Phone (713) 242-2222

921 Gessner Rd
Houston, TX 77024-2501

9250 Pinecroft Dr
Shenandoah, TX 77380-3218
Phone (713) 897-2307

Hospital & facility affiliations

  • Memorial Hermann Katy Hospital Hospital, Katy, TX, CCN 450847
  • Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N6790TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Psychiatry CurrentSince Feb 1, 2014 Accepting new patients
Ut Physicians CurrentSince Feb 1, 2014 Accepting new patients
Memorial Hermann Medical Group CurrentSince Oct 15, 2017 Accepting new patients

Locations

1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800

909 Frostwood Dr
Ste 1100
Houston, TX 77024
Phone (713) 338-4523

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

1941 East Rd
Rm 3236
Houston, TX 77054
Phone (713) 486-2571

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876

Organizations & group practices 3

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

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1093026320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 EAST RD RM 3236",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770546010",
            "telephone_number": "713-486-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 EAST RD RM 3236",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770546010",
            "telephone_number": "713-486-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAJICEK",
        "first_name": "CONNIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-01",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "N6790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.