Individual provider Active NPI

Derek Ream, PSY.D., M.S.

  • Clinical Psychologist
  • Sugar Land, TX
National Provider Identifier
1447823257
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
39590 Issued in TX
Practice address
1510 Summer Forest Dr
Sugar Land, TX 77479-6921
Phone
(812) 402-9227
NPI assigned
Jul 20, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X P.08251 OH
Clinical Psychologist 103TC0700X 39590 TX Primary

Addresses

Primary practice location

1510 Summer Forest Dr
Sugar Land, TX 77479-6921

Mailing address

1510 Summer Forest Dr
Sugar Land, TX 77479-6921
Phone (812) 402-9227

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
I20250618000596 TX Practitioner - Clinical Psychologist 8921519778 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
P.08251OHMDClinical Psychologist
39590TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sugar Land Psychological Associates, PLLC CurrentSince May 4, 2025 Accepting new patients

Locations

2245 Texas Dr
Ste 300
Sugar Land, TX 77479
Phone (281) 402-9227

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1447823257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 SUMMER FOREST DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774796921",
            "telephone_number": "812-402-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 SUMMER FOREST DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774796921",
            "telephone_number": "812-402-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAM",
        "first_name": "DEREK",
        "name_prefix": "Dr.",
        "credential": "PSY.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-20",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "P.08251",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "39590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.