Active NPI
Sheila A Jenkins, PH.D.
- Psychologist
- Houston, TX
National Provider Identifier
1124170527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2-4941
- Practice address
- 5821 Southwest Fwy
Suite 380
Houston, TX 77057-7529 - Phone
- (713) 266-9837
- Fax
- (713) 266-9838
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2-4941 | TX | Primary |
Addresses
Primary practice location
5821 Southwest Fwy
Suite 380
Houston, TX 77057-7529
Mailing address
5821 Southwest Fwy
Suite 380
Houston, TX 77057-7529
Phone (713) 266-9837
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123626702 | Medicaid | TX |
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120323000211 | TX | Practitioner - Clinical Psychologist | 8224298518 | Practice locations: Houston, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2-4941 | TX | MD | Psychologist |
| 24941 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378684800000",
"number": "1124170527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5821 SOUTHWEST FWY",
"address_2": "SUITE 380",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770577529",
"telephone_number": "713-266-9837",
"fax_number": "713-266-9838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5821 SOUTHWEST FWY",
"address_2": "SUITE 380",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770577529",
"telephone_number": "713-266-9837",
"fax_number": "713-266-9838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "SHEILA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2013-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "2-4941",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123626702",
"state": "TX"
}
],
"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 Sep 9, 2013; 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.