Active NPI
Vanessa Vincent, PSYD, MA
- Psychologist
- Spring, TX
National Provider Identifier
1629875760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 39639
- Practice address
- 7711 Goldengrove Dr
Spring, TX 77379-4015 - Phone
- (510) 755-4774
- NPI assigned
- Feb 26, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 39639 | TX | Primary |
Addresses
Primary practice location
7711 Goldengrove Dr
Spring, TX 77379-4015
Mailing address
7711 Goldengrove Dr
Spring, TX 77379-4015
Phone (510) 755-4774
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39639 | TX | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740528000000",
"number": "1629875760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7711 GOLDENGROVE DR",
"city": "SPRING",
"state": "TX",
"postal_code": "773794015",
"telephone_number": "510-755-4774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7711 GOLDENGROVE DR",
"city": "SPRING",
"state": "TX",
"postal_code": "773794015",
"telephone_number": "510-755-4774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINCENT",
"first_name": "VANESSA",
"name_prefix": "Dr.",
"credential": "PSYD, MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-26",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "39639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.