Active NPI
Jennifer Rothfleisch, PHD
- Clinical Psychologist
- Pearland, TX
National Provider Identifier
1699813303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 30753
- Practice address
- 2225 Country Rd 90
Suite 221
Pearland, TX 77584 - Phone
- (281) 412-9138
- Fax
- (713) 988-6149
- NPI assigned
- Feb 2, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 30753 | TX | Primary |
Addresses
Primary practice location
2225 Country Rd 90
Suite 221
Pearland, TX 77584
Mailing address
2225 Country Rd 90
Suite 221
Pearland, TX 77584
Phone (281) 412-9138
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30753 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles F. Gray, PH.D., P.C. | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699813303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2225 COUNTRY RD 90",
"address_2": "SUITE 221",
"city": "PEARLAND",
"state": "TX",
"postal_code": "77584",
"telephone_number": "281-412-9138",
"fax_number": "713-988-6149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2225 COUNTRY RD 90",
"address_2": "SUITE 221",
"city": "PEARLAND",
"state": "TX",
"postal_code": "77584",
"telephone_number": "281-412-9138",
"fax_number": "713-988-6149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTHFLEISCH",
"first_name": "JENNIFER",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "30753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.