Individual provider Active NPI

Jennings Tyson Godsy, M.D.

  • Psychiatry Physician
  • Tomball, TX
National Provider Identifier
1174726996
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
N3676 Issued in TX
Practice address
11439 Spring Cypress Rd
Unit a
Tomball, TX 77377-6514
Phone
(281) 631-0081
Fax
(281) 823-7466
NPI assigned
Jun 8, 2007
Last updated
Apr 5, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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 N3676 TX Primary

Addresses

Primary practice location

11439 Spring Cypress Rd
Unit a
Tomball, TX 77377-6514

Mailing address

11439 Spring Cypress Rd
Unit a
Tomball, TX 77377-6514
Phone (281) 631-0081

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
I20100218000538 TX Practitioner - Psychiatry 9830233527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Texas Medical School at San Antonio, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

14335 Torrey Chase Blvd E
Houston, TX 77014-1634

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N3676TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Houston Psychiatry, PLLC Psychiatry CurrentSince Sep 23, 2011 Accepting new patients
Ut Physicians Psychiatry Past Accepting new patients

Locations

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

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

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1174726996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11439 SPRING CYPRESS RD",
            "address_2": "UNIT A",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773776514",
            "telephone_number": "281-631-0081",
            "fax_number": "281-823-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11439 SPRING CYPRESS RD",
            "address_2": "UNIT A",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773776514",
            "telephone_number": "281-631-0081",
            "fax_number": "281-823-7466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODSY",
        "first_name": "JENNINGS",
        "middle_name": "TYSON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "N3676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.