Individual provider Active NPI

Amie Marie Allain, PHD

  • Clinical Psychologist
  • Kingwood, TX
National Provider Identifier
1487927174
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
36993 Issued in TX
Practice address
2316 Timber Shadows Dr,
Suite 200
Kingwood, TX 77339-4200
Phone
(281) 217-2505
NPI assigned
Feb 12, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 36993 TX Primary
Counseling Psychologist 103TC1900X 1143 LA
Clinical Child & Adolescent Psychologist 103TC2200X 36993 TX

Addresses

Primary practice location

2316 Timber Shadows Dr,
Suite 200
Kingwood, TX 77339-4200

Mailing address

7019 Backlick CT
Springfield, VA 22151-3903
Phone (281) 217-2505

Other names 1

  • Miss Amie Marie Jeffryes Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1143LAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1329004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1487927174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7019 BACKLICK CT",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221513903",
            "telephone_number": "281-217-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 TIMBER SHADOWS DR,",
            "address_2": "SUITE 200",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394200",
            "telephone_number": "281-217-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLAIN",
        "first_name": "AMIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-12",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "36993",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "LA",
            "license": "1143",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "36993",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMIE",
            "last_name": "JEFFRYES",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.