Jonathan Ray Squyres, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

38103 Issued in TX

Practice address

130 Michaels Loop
Lufkin, TX 75901-8317

Phone

(936) 824-5011

NPI assigned

Sep 16, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Clinical Psychologist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brittain and Associates IncGroup PAC ID 2668455221, 16 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Brittain & Associates Inc

  • Clinical Psychologist
  • Ore City, TX
  • NPI 1285650457
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1285629055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MICHAELS LOOP",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759018317",
            "telephone_number": "936-824-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MICHAELS LOOP",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759018317",
            "telephone_number": "936-824-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUYRES",
        "first_name": "JONATHAN",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "18907",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "38103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174531702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Splenser Family Medicine
• Noemi R Splenser, P.T.
• Pablo Ernesto Splenser, MD
• Brian Thomas Spore, DO
• Virginia B Spore
• SSK Physician Associates
• St Giles Living Centers Texas LLC
• St. Giles - Baytown, Inc.
• Barbara Lee Stafford, PHARMACIST
• James Edward Staggs II, DDS PA

• Psychologist in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.
• 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.

Verify at the official NPI Registry.