Organization Active NPI

Nichole Tomjanovich, M.D., P.a.

  • Psychiatry Physician
  • Houston, TX
National Provider Identifier
1265715965
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
M4597 Issued in TX
Legal business name
NICHOLE TOMJANOVICH, M.D., P.A.
Practice address
2323 S Shepherd Dr
Suite 1012
Houston, TX 77019-7019
Phone
(713) 520-1411
Fax
(713) 520-1415
NPI assigned
Sep 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Authorized official

Name
Bonnie Martinez
Title
LVN
Phone
(713) 520-1411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X M4597 TX Primary

Addresses

Primary practice location

2323 S Shepherd Dr
Suite 1012
Houston, TX 77019-7019

Mailing address

2323 S Shepherd Dr
Suite 1012
Houston, TX 77019-7019
Phone (713) 520-1411

National Provider Directory

National Provider Directory

Locations

2323 S Shepherd Dr
Ste 1012
Houston, TX 77019
Phone (713) 520-1411

NPI Registry JSON

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1265715965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 S SHEPHERD DR",
            "address_2": "SUITE 1012",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770197019",
            "telephone_number": "713-520-1411",
            "fax_number": "713-520-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 S SHEPHERD DR",
            "address_2": "SUITE 1012",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770197019",
            "telephone_number": "713-520-1411",
            "fax_number": "713-520-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLE TOMJANOVICH, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "LVN",
        "authorized_official_telephone_number": "713-520-1411"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "M4597",
            "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 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.