Individual provider Active NPI

Jacob Parrett, PHD

  • Clinical Psychologist
  • College Station, TX
National Provider Identifier
1194587378
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
40126 Issued in TX
Practice address
408 Tarrow St
College Station, TX 77840-7811
Phone
(979) 268-1111
NPI assigned
Jan 24, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 40126 TX Primary

Addresses

Primary practice location

408 Tarrow St
College Station, TX 77840-7811

Mailing address

3070 Positano Loop
Bryan, TX 77808-5440
Phone (979) 317-9544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250304000160 CO Practitioner - Clinical Psychologist 2860913183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Colorado Springs Psychological ServicesGroup PAC ID 0446550024, 10 clinicians

Practice addresses (Care Compare)

1115 Elkton Dr
Suite 102
Colorado Springs, CO 80907-3597
Phone (719) 357-6471

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40126TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Springs Psychological Services Clinical CurrentSince Feb 28, 2025 Accepting new patients
Aap - Psychology PLLC CurrentSince Jan 28, 2024 Accepting new patients

Locations

1115 Elkton Dr
Ste 102
Colorado Springs, CO 80907
Phone (719) 357-6471

8380 Zuni St
Ste 305
Westminster, CO 80221
Phone (719) 357-6471

408 Tarrow St
College Station, TX 77840
Phone (979) 218-5797

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1194587378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 POSITANO LOOP",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778085440",
            "telephone_number": "979-317-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 TARROW ST",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778407811",
            "telephone_number": "979-268-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRETT",
        "first_name": "JACOB",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "40126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.