Active NPI
Bridging the Gap Psychological Services, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Katy, TX
National Provider Identifier
1235826058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- BRIDGING THE GAP PSYCHOLOGICAL SERVICES, LLC
- Practice address
- 633 East Ferhurst Drive Suite 301
Katy, TX 77450 - Phone
- (832) 900-9819
- NPI assigned
- Apr 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dr. Tioana Maxwell, PSY.D
- Title
- Licensed Clinical Psychologist
- Phone
- (832) 582-0556
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
633 East Ferhurst Drive Suite 301
Katy, TX 77450
Mailing address
633 East Ferhurst Drive Suite 301
Katy, TX 77450
Phone (832) 582-0556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
633 E Fernhurst Dr
Ste 301
Katy, TX 77450
Phone (832) 900-9819
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Katy, TX
- NPI 1356574743
-
- Psychologist
- Katy, TX
- NPI 1396568077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719792000000",
"number": "1235826058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 EAST FERHURST DRIVE SUITE 301",
"city": "KATY",
"state": "TX",
"postal_code": "77450",
"telephone_number": "832-582-0556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 EAST FERHURST DRIVE SUITE 301",
"city": "KATY",
"state": "TX",
"postal_code": "77450",
"telephone_number": "832-900-9819"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDGING THE GAP PSYCHOLOGICAL SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-20",
"last_updated": "2024-07-01",
"certification_date": "2024-06-24",
"status": "A",
"authorized_official_last_name": "MAXWELL",
"authorized_official_first_name": "DR.",
"authorized_official_middle_name": "TIOANA",
"authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "832-582-0556",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.