Organization Active NPI

S G Pollard PHD PLLC

  • Psychologist
  • Kingwood, TX
National Provider Identifier
1366998387
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
32229 Issued in TX
Legal business name
S G POLLARD PHD PLLC
Practice address
1420 Stonehollow Dr
Ste C
Kingwood, TX 77339-2494
Phone
(281) 570-8227
Fax
(832) 408-7662
NPI assigned
Aug 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Authorized official

Name
Dr. Susan G Pollard, PHDNPI 1477572782
Title
Owner
Phone
(281) 570-8227

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 32229 TX Primary

Addresses

Primary practice location

1420 Stonehollow Dr
Ste C
Kingwood, TX 77339-2494

Mailing address

1420 Stonehollow Dr Ste C
Kingwood, TX 77339-2494
Phone (281) 570-8227

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180205002982 TX Part B Supplier - Clinic/Group Practice 1658669395 Receives reassigned benefits from 1 practitioner
Practice locations: Kingwood, TX

National Provider Directory

National Provider Directory

Locations

1420 Stonehollow Dr
Ste C
Kingwood, TX 77339
Phone (281) 570-8227

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": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1366998387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 STONEHOLLOW DR STE C",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392494",
            "telephone_number": "281-570-8227",
            "fax_number": "832-408-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 STONEHOLLOW DR",
            "address_2": "STE C",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392494",
            "telephone_number": "281-570-8227",
            "fax_number": "832-408-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S G POLLARD PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "POLLARD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-570-8227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "32229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.