Active NPI
Raquepaw Enterprises, Inc.
Doing business as Jayne Raquepaw, Ph.D.
- Clinical Psychologist
- Houston, TX
National Provider Identifier
1649252917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2-4154
- Legal business name
- RAQUEPAW ENTERPRISES, INC.
- Doing business as
- Jayne Raquepaw, Ph.D.
- Practice address
- 3400 Bissonnet St Ste 280
Houston, TX 77005-2192 - Phone
- (713) 909-4841
- NPI assigned
- Nov 14, 2005
- Last updated
- Aug 27, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jayne Raquepaw, PH.D.
- Title
- Owner/President
- Phone
- (713) 960-8112
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2-4154 | TX | Primary |
Addresses
Primary practice location
3400 Bissonnet St Ste 280
Houston, TX 77005-2192
Mailing address
3400 Bissonnet St Ste 280
Houston, TX 77005-2192
Phone (713) 909-4841
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 144401000 | Other | TX | MAGELLAN BEHAVIORAL HEALT |
| 4626769 | Other | TX | AETNA BEHAVIORAL HEALTH |
| 00000042JN | Other | TX | BLUECROSS BLUESHIELD |
| 225414713 | Other | TX | UNITED BEHAVIORAL HEALTH |
| 099272902 | Medicaid | TX |
Other names 1
- Jayne Raquepaw, Ph.D.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
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.
-
- Clinical Psychologist
- Houston, TX
- NPI 1306068051
-
- Clinical Psychologist
- Houston, TX
- NPI 1376608414
-
- Clinical Psychologist
- Houston, TX
- NPI 1508970054
-
- Clinical Social Worker
- Houston, TX
- NPI 1871608968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661558400000",
"number": "1649252917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 BISSONNET ST STE 280",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770052192",
"telephone_number": "713-909-4841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 BISSONNET ST STE 280",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770052192",
"telephone_number": "713-909-4841"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAQUEPAW ENTERPRISES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-14",
"last_updated": "2022-08-27",
"certification_date": "2022-08-27",
"status": "A",
"authorized_official_last_name": "RAQUEPAW",
"authorized_official_first_name": "JAYNE",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "713-960-8112",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "2-4154",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN BEHAVIORAL HEALT",
"identifier": "144401000",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA BEHAVIORAL HEALTH",
"identifier": "4626769",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "00000042JN",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "225414713",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "099272902",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Jayne Raquepaw, Ph.D.",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Jayne Raquepaw, Ph.D.",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.