Ja Swanson Licensed Clinical Psychologist, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

34785 Issued in TX

Legal business name

JA SWANSON LICENSED CLINICAL PSYCHOLOGIST, PLLC

Practice address

19200 Space Center Blvd
Houston, TX 77058-3736

Phone

(281) 626-7986

Fax

(281) 688-1888

NPI assigned

Feb 24, 2015

Last updated

May 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Julie A Swanson, PH.D.NPI 1699104455

Title

Psychologist/Owner

Phone

(281) 626-7986

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julie A Swanson, PH.D.

  • Clinical Psychologist
  • Houston, TX
  • NPI 1699104455
  Medicare reassignment Authorized official
• Magdalena Bennett

  • Professional Counselor
  • Houston, TX
  • NPI 1124829676
  NPD
• Anugeetika Jain, LPC

  • Professional Counselor
  • Houston, TX
  • NPI 1447968656
  NPD
• Puja Mehta Birak, LPC

  • Professional Counselor
  • Houston, TX
  • NPI 1083970453
  NPD (past)
• Victor Nolan Hirsch, PH D

  • Psychologist
  • League City, TX
  • NPI 1326155326
  NPD (past)

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1467844712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 NASA PKWY # 1106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583039",
            "telephone_number": "281-626-7986",
            "fax_number": "281-688-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19200 SPACE CENTER BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583736",
            "telephone_number": "281-626-7986",
            "fax_number": "281-688-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JA SWANSON LICENSED CLINICAL PSYCHOLOGIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-24",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "281-626-7986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "34785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Muhammed Jaafar
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• 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 May 12, 2023; 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.