Alyssa Coleman, M.A., NCSP

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

34386 Issued in TX

Practice address

32100 Dobbin Huffsmith Rd
Magnolia, TX 77354-6389

Phone

(936) 297-0417

Fax

(832) 218-5858

NPI assigned

Sep 19, 2023

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

Other names 1

• Alyssa Dietrich Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1164200218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31318 CAPELLA CIR",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754076",
            "telephone_number": "281-734-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32100 DOBBIN HUFFSMITH RD",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773546389",
            "telephone_number": "936-297-0417",
            "fax_number": "832-218-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "ALYSSA",
        "credential": "M.A., NCSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "TX",
            "license": "34386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "DIETRICH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• School Psychologist in Magnolia, TX
• Providers in Magnolia, TX by specialty
• School Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.