Jennifer Lynn Bissett, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3-2445 Issued in TX

Practice address

216 N Michigan Ave
Suite 585
League City, TX 77573-2431

Phone

(281) 332-5100

Fax

(281) 332-5155

NPI assigned

Jul 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Jennifer Lynn Richard Former name

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

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.

• Bissett Psychological Services, PLLC

  • Psychologist
  • League City, TX
  • NPI 1710653522
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1376560359",
    "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",
            "address_2": "SUITE 585",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732431",
            "telephone_number": "281-332-5100",
            "fax_number": "281-332-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISSETT",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "3-2445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "614295",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176347603",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8G0983",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "87499A",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "RICHARD",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Grace Christine Biles, PTA, BS
• Bio-Medical Applications of Texas, Inc.
• Jennifer N. Bird, O.D.
• Birds Eye View Optometry - League City PLLC
• Bissett Psychological Services, PLLC
• Jenny Blackman, NP
• Noah Blackwell
• Kerri Lyn Blackwood
• Blessed Dental Specialists PLLC
• James Robert Bluhm, PT

• Clinical Psychologist in League City, TX
• Providers in League City, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.

Verify at the official NPI Registry.