Organization Active NPI

Psychology Resources, PC

  • Clinical Psychologist
  • League City, TX
National Provider Identifier
1346395514
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
31514 Issued in TX
Legal business name
PSYCHOLOGY RESOURCES, PC
Practice address
216 N Michigan Ave
League City, TX 77573-2431
Phone
(281) 332-5100
Fax
(281) 332-5155
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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

Authorized official

Name
Mrs. Pamela Gretchen Browne, PH.D.NPI 1760560403
Title
Owner
Phone
(281) 332-5100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 31514 TX Primary

Addresses

Primary practice location

216 N Michigan Ave
League City, TX 77573-2431

Mailing address

216 N Michigan Ave
League City, TX 77573-2431
Phone (281) 332-5100

Other identifiers 4

IdentifierTypeStateIssuer
150640401MedicaidTX
87001AOtherTXBCBS
494577OtherTXVALUE OPTIONS
86678AOtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090223000170 TX Part B Supplier - Clinic/Group Practice 4082779228 Receives reassigned benefits from 1 practitioner
Practice locations: League City, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1346395514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 N MICHIGAN AVE",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732431",
            "telephone_number": "281-332-5100",
            "fax_number": "281-332-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N MICHIGAN AVE",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732431",
            "telephone_number": "281-332-5100",
            "fax_number": "281-332-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGY RESOURCES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "BROWNE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "GRETCHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-332-5100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "31514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150640401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "87001A",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "494577",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "86678A",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.