Nicole B Dorsey, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

31047 Issued in TX

Practice address

7410 E Suddley Castle St
Houston, TX 77095-3535

Phone

(832) 545-5498

NPI assigned

Mar 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nicole Bryant Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Stonebridge Behavioral Health, P.a.

  • Clinical Psychologist
  • San Antonio, TX
  • NPI 1861528390
  NPD

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1376673400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7410 E SUDDLEY CASTLE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770953535",
            "telephone_number": "832-545-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7410 E SUDDLEY CASTLE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770953535",
            "telephone_number": "832-545-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSEY",
        "first_name": "NICOLE",
        "middle_name": "B",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "31047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052707901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BRYANT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Janenne Dorsey
• Johnnette Dorsey
• Joseph Ishmael Dorsey, PHARM.D.
• Kenneth E Dorsey, MD
• Monique K Dorsey, MS, RD, LDN
• Shavonne Alexis Dorsey
• Jamie Renee Dorth, PA-C
• Gustavo Dos Santos Alves Maria, MD, PHD
• Christiano Dos Santos E Santos, M.D.
• Anna Larissa Dos Santos

• Clinical Psychologist in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.