Active NPI
Becky Siekierski, PHD, LSSP, NCSP
- Clinical Child & Adolescent Psychologist
- Houston, TX
National Provider Identifier
1174962476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 33696
- Practice address
- 16815 Royal Crest Dr
Suite 160
Houston, TX 77058-2521 - Phone
- (281) 407-5658
- NPI assigned
- Jun 19, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 33696 | TX | Primary |
| School Psychologist | 103TS0200X | 31848 | TX |
Addresses
Primary practice location
16815 Royal Crest Dr
Suite 160
Houston, TX 77058-2521
Mailing address
16815 Royal Crest Dr Ste 160
Houston, TX 77058-2534
Phone (281) 407-5658
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33696 | TX | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clear Lake Children'S Center | Clinical Child & Adolescent | Current | Accepting new patients |
Locations
16815 Royal Crest Dr
Ste 160
Houston, TX 77058
Phone (281) 407-5658
Organizations & group practices 1
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.
-
- Clinical Child & Adolescent Psychologist
- Webster, TX
- NPI 1578969655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416182400000",
"number": "1174962476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16815 ROYAL CREST DR STE 160",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770582534",
"telephone_number": "281-407-5658",
"fax_number": "281-407-5631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16815 ROYAL CREST DR",
"address_2": "SUITE 160",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770582521",
"telephone_number": "281-407-5658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEKIERSKI",
"first_name": "BECKY",
"name_prefix": "Dr.",
"credential": "PHD, LSSP, NCSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-19",
"last_updated": "2014-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "TX",
"license": "33696",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "TX",
"license": "31848",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Michael Harris Siegelman, M.D.
- Siegfried E Schnell, DPM PA
- Samuel L Siegler,II, M.D.
- Mai Khanh Siegrist, OTR
- Meagan Samantha Siehr, MS, PHD
- Lori Sielski, MD
- Siena Dental Care PLLC
- Brenda Yurian Sierra Cardoza
- Sierra Compassionate Home Health Care Inc
- Sierra Leone Rural Mental Health Advocacy and Consultancy Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.