Individual provider Active NPI

Michael Jones, PH.D.

  • Clinical Psychologist
  • Webster, TX
National Provider Identifier
1205844339
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
23621 Issued in TX
Practice address
1560 Live Oak St
Suite B
Webster, TX 77598-4147
Phone
(281) 554-6100
Fax
(281) 554-6133
NPI assigned
Aug 4, 2006
Last updated
Jul 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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 23621 TX Primary

Addresses

Primary practice location

1560 Live Oak St
Suite B
Webster, TX 77598-4147

Mailing address

17300 Saturn LN Ste 103
Houston, TX 77058-2209
Phone (281) 554-6100

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140502001477 TX Practitioner - Clinical Psychologist 3779581210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychological Associates of Clear LakeGroup PAC ID 5799783239, 2 clinicians

Practice addresses (Care Compare)

17300 Saturn LN
Suite 103
Houston, TX 77058-2209
Phone (281) 554-6100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23621TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Allegiance Hospice LLC CurrentSince Jan 21, 2022 Accepting new patients
Safe Haven Counseling Center PastSince Aug 4, 1992 Accepting new patients

Locations

1560 Live Oak St
Ste B
Webster, TX 77598
Phone (281) 554-6100

Organizations & group practices 3

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1205844339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17300 SATURN LN STE 103",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582209",
            "telephone_number": "281-554-6100",
            "fax_number": "281-554-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 LIVE OAK ST",
            "address_2": "SUITE B",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984147",
            "telephone_number": "281-554-6100",
            "fax_number": "281-554-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "23621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.