Individual provider Active NPI

KS Stanley, PSYD

  • Clinical Psychologist
  • Houston, TX
National Provider Identifier
1295850311
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
36976 Issued in TX
Practice address
2211 Norfolk St Ste 204
Houston, TX 77098-1013
Phone
(346) 232-5060
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 36976 TX Primary

Addresses

Primary practice location

2211 Norfolk St Ste 204
Houston, TX 77098-1013

Mailing address

2211 Norfolk St Ste 204
Houston, TX 77098-1013
Phone (346) 232-5060

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.kstanleypsyd.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36976TXMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
KS Stanley, PSYD, PLLC CurrentSince Jan 31, 2021 Accepting new patients

Locations

2211 Norfolk St
Ste 204
Houston, TX 77098
Phone (346) 232-5060

2211 Norfolk St
Ste 140
Houston, TX 77098
Phone (713) 398-5303

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1295850311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 NORFOLK ST STE 204",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770981013",
            "telephone_number": "346-232-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 NORFOLK ST STE 204",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770981013",
            "telephone_number": "346-232-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "KS",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "36976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.kstanleypsyd.com",
            "affiliation": "N",
            "address_1": "2211 Norfolk St Ste 204",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770981013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 24, 2021; 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.