Jacobs Ladder Psychological Services, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35188 Issued in TX

Legal business name

JACOBS LADDER PSYCHOLOGICAL SERVICES, PLLC

Practice address

11201 Richmond Ave
Suite a-100a
Houston, TX 77082-6653

Phone

(281) 512-4734

Fax

(281) 494-8380

NPI assigned

Feb 19, 2013

Organization subpart

No

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

Authorized official

Name

Keisha Holley Johnson, PHD

Title

Ceo/President

Phone

(281) 785-7528

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1598005183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16823 GREEN QUAIL DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774895301",
            "telephone_number": "281-512-4734",
            "fax_number": "281-497-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 RICHMOND AVE",
            "address_2": "SUITE A-100A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770826653",
            "telephone_number": "281-512-4734",
            "fax_number": "281-494-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOBS LADDER PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-19",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_middle_name": "HOLLEY",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "281-785-7528",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "35188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Jacob, PA-C
• Susan Jacob, NP
• Jacob'S Discount Pharmacy, Inc.
• Elizabeth Marie Jacobi, M.D.
• Guadalupe Jacobo, CAREGIVER
• Alexandra Loren Kramer Jacobs
• Bobby Jacobs, NP
• Charlene Jacobs, LVN
• Cheryl Jacobs
• Deborah Ann Jacobs, RN

• 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 13, 2013; 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.