Individual provider Active NPI

Kevin Jay Schloneger, PHD, LP

  • Clinical Psychologist
  • The Woodlands, TX
National Provider Identifier
1447325618
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
30820 Issued in TX
Practice address
2103 Research Forest Dr Ste 175
The Woodlands, TX 77380-4162
Phone
(844) 824-8775
Fax
(281) 648-2200
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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 30820 TX Primary

Addresses

Primary practice location

2103 Research Forest Dr Ste 175
The Woodlands, TX 77380-4162

Mailing address

2103 Research Forest Dr Ste 175
The Woodlands, TX 77380-4162
Phone (844) 824-8775

Other identifiers 2

IdentifierTypeStateIssuer
140937702MedicaidTX
00471POtherTXBCBS OF TEXAS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050103000016 TX Practitioner - Clinical Psychologist 2668430158

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14933 Calaveras Dr
Austin, TX 78717-4574

20615 Nannette LN
Spring, TX 77388-4824

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
30820TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
On Site Counseling,Inc. CurrentSince Aug 19, 2019 Accepting new patients
Progressive Behavioral Health, PLLC Clinical CurrentSince Sep 6, 2023 Accepting new patients

Locations

3007 Caroline St
Houston, TX 77004
Phone (713) 528-2328

12505 Memorial Dr
Ste 230
Houston, TX 77024
Phone (210) 858-9078

23051 Kingwood Place Dr
Ste 110
Kingwood, TX 77339
Phone (281) 374-4500

4825 Alliance Blvd
Ste 150
Plano, TX 75093
Phone (469) 250-8007

4242 Medical Dr
Ste 6300
San Antonio, TX 78229
Phone (210) 614-8400

2103 Research Forest Dr
Bldg 1
The Woodlands, TX 77380
Phone (832) 895-0347

2103 Research Forest Dr
Ste 175
The Woodlands, TX 77380

Organizations & group practices 2

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": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1447325618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 RESEARCH FOREST DR STE 175",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773804162",
            "telephone_number": "844-824-8775",
            "fax_number": "281-648-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 RESEARCH FOREST DR STE 175",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773804162",
            "telephone_number": "844-824-8775",
            "fax_number": "281-648-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLONEGER",
        "first_name": "KEVIN",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "PHD, LP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "30820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140937702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "00471P",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.