Active NPI
Jennifer Pate, MD
- Psychiatry Physician
- Houston, TX
National Provider Identifier
1275613697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- M0216
- Practice address
- 4545 Post Oak Place Dr
Suite 130
Houston, TX 77027-3164 - Phone
- (713) 960-8008
- Fax
- (713) 960-0965
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | M0216 | TX | Primary |
Addresses
Primary practice location
4545 Post Oak Place Dr
Suite 130
Houston, TX 77027-3164
Mailing address
4545 Post Oak Place Dr
Suite 130
Houston, TX 77027-3164
Phone (713) 960-8008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171340603 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M0216 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor College of Medicine | Psychiatry | Past | Accepting new patients |
| Baylor College of Medicine | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Psychiatry Physician
- New York, NY
- NPI 1033750823
-
- Internal Medicine Physician
- Houston, TX
- NPI 1104867175
-
- Psychiatry Physician
- Houston, TX
- NPI 1972694354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389571200000",
"number": "1275613697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4545 POST OAK PLACE DR",
"address_2": "SUITE 130",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770273164",
"telephone_number": "713-960-8008",
"fax_number": "713-960-0965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4545 POST OAK PLACE DR",
"address_2": "SUITE 130",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770273164",
"telephone_number": "713-960-8008",
"fax_number": "713-960-0965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATE",
"first_name": "JENNIFER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2014-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "M0216",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "171340603",
"state": "TX"
}
],
"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 Jan 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.