NPIMap

Organization Active NPI

Jsa Health Texas, PLLC

  • Psychiatry Physician
  • Houston, TX
National Provider Identifier
1619274354
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
K0750 Issued in TX
Legal business name
JSA HEALTH TEXAS, PLLC
Practice address
410 Pierce St Ste 103
Houston, TX 77002-8749
Phone
(888) 792-7122
NPI assigned
Feb 15, 2011
Last updated
Feb 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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

Authorized official

Name
Dr. Avrim Fishkind, M.D.NPI 1093727943
Title
Chief Medical Officer
Phone
(888) 792-7122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X K0750 TX Primary

Addresses

Primary practice location

410 Pierce St Ste 103
Houston, TX 77002-8749

Mailing address

410 Pierce St Ste 103
Houston, TX 77002-8749
Phone (888) 792-7122

National Provider Directory

National Provider Directory

Locations

410 Pierce St
Ste 103
Houston, TX 77002
Phone (813) 494-5922

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1619274354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 PIERCE ST STE 103",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028749",
            "telephone_number": "888-792-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 PIERCE ST STE 103",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028749",
            "telephone_number": "888-792-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSA HEALTH TEXAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "FISHKIND",
        "authorized_official_first_name": "AVRIM",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "888-792-7122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "K0750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.