Active NPI
John Scott Hickey, PH. D.
- Clinical Psychologist
- Houston, TX
National Provider Identifier
1245425016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 23165
- Practice address
- 3418 Mercer St
Suite 100
Houston, TX 77027-6527 - Phone
- (713) 961-0651
- NPI assigned
- Sep 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 23165 | TX | Primary |
Addresses
Primary practice location
3418 Mercer St
Suite 100
Houston, TX 77027-6527
Mailing address
3418 Mercer St
Suite 100
Houston, TX 77027-6527
Phone (713) 961-0651
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260204001866 | TX | Practitioner - Psychologist Billing Independently | 2062991656 | Practice locations: Houston, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3206 Hickory Grove LN
Pearland, TX 77584-8118
3418 Mercer St
Suite 101B
Houston, TX 77027-6525
Phone (832) 969-6663
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23165 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adapt for Healthy Sexuality | Clinical | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189728000000",
"number": "1245425016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3418 MERCER ST",
"address_2": "SUITE 100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770276527",
"telephone_number": "713-961-0651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3418 MERCER ST",
"address_2": "SUITE 100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770276527",
"telephone_number": "713-961-0651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKEY",
"first_name": "JOHN",
"middle_name": "SCOTT",
"credential": "PH. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-13",
"last_updated": "2007-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "23165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.