Organization Active NPI

North Houston Psychiatry, PLLC

  • Psychiatry Physician
  • Houston, TX
National Provider Identifier
1164719795
Registry record updated Jul 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
N3676 Issued in TX
Legal business name
NORTH HOUSTON PSYCHIATRY, PLLC
Practice address
14335 Torrey Chase Blvd Ste E
Houston, TX 77014-1634
Phone
(281) 631-0081
Fax
(281) 583-7748
NPI assigned
Jul 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2011

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

Authorized official

Name
Dr. Jennings Tyson Godsy, M.D.NPI 1174726996
Title
Owner
Phone
(281) 631-0081

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X N3676 TX Primary

Addresses

Primary practice location

14335 Torrey Chase Blvd Ste E
Houston, TX 77014-1634

Mailing address

14335 Torrey Chase Blvd Ste E
Houston, TX 77014-1634
Phone (281) 631-0081

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111229000697 TX Part B Supplier - Clinic/Group Practice 0143496810 Receives reassigned benefits from 1 practitioner
Practice locations: Tomball, TX

National Provider Directory

National Provider Directory

Locations

14335 Torrey Chase Blvd
Ste E
Houston, TX 77014
Phone (281) 586-6490

11439 Spring Cypress Rd
Unit A
Tomball, TX 77377
Phone (281) 631-0081

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309737600000",
    "number": "1164719795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14335 TORREY CHASE BLVD STE E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770141634",
            "telephone_number": "281-631-0081",
            "fax_number": "281-583-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14335 TORREY CHASE BLVD STE E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770141634",
            "telephone_number": "281-631-0081",
            "fax_number": "281-583-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH HOUSTON PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-04",
        "last_updated": "2011-07-04",
        "status": "A",
        "authorized_official_last_name": "GODSY",
        "authorized_official_first_name": "JENNINGS",
        "authorized_official_middle_name": "TYSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-631-0081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "N3676",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 4, 2011; 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.