Individual provider Active NPI

Lloyd Whieldon, M.S

  • Psychologist
  • The Woodlands, TX
National Provider Identifier
1639602840
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
37594 Issued in TX
Practice address
2219 Sawdust Rd Ste 1101
The Woodlands, TX 77380-2580
Phone
(936) 444-6710
NPI assigned
Apr 5, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 37594 TX Primary

Addresses

Primary practice location

2219 Sawdust Rd Ste 1101
The Woodlands, TX 77380-2580

Mailing address

10126 Logan Grove CT
Conroe, TX 77302-5270
Phone (936) 444-6710

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 Science

State licenses

LicenseStateTypeSpecialty
37594TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1639602840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10126 LOGAN GROVE CT",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773025270",
            "telephone_number": "936-444-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 SAWDUST RD STE 1101",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802580",
            "telephone_number": "936-444-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHIELDON",
        "first_name": "LLOYD",
        "credential": "M.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "37594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.