Active NPI
Jerri P Sethna MD PA
- Psychiatry Physician
- Houston, TX
National Provider Identifier
1720380421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- H3523
- Legal business name
- JERRI P SETHNA MD PA
- Practice address
- 17115 Red Oak Dr
Suite 116
Houston, TX 77090-2641 - Phone
- (281) 397-0200
- NPI assigned
- Dec 1, 2010
- 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
- Jerri P Sethna, M.D.
- Title
- Psychiatrist
- Phone
- (281) 397-0200
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | H3523 | TX | Primary |
Addresses
Primary practice location
17115 Red Oak Dr
Suite 116
Houston, TX 77090-2641
Mailing address
17115 Red Oak Drive
Suite 116
Houston, TX 77090
Phone (281) 397-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128369901 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
17115 Red Oak Dr
Ste 116
Houston, TX 77090
Phone (281) 397-0200
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- The Woodlands, TX
- NPI 1649236415
-
- Mental Health Counselor
- Houston, TX
- NPI 1003871427
-
- Psychologist
- Houston, TX
- NPI 1558603068
-
- Psychiatric/Mental Health Nurse Practitioner
- Houston, TX
- NPI 1891300687
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291161600000",
"number": "1720380421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17115 RED OAK DRIVE",
"address_2": "SUITE 116",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77090",
"telephone_number": "281-397-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17115 RED OAK DR",
"address_2": "SUITE 116",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770902641",
"telephone_number": "281-397-0200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JERRI P SETHNA MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-01",
"last_updated": "2010-12-01",
"status": "A",
"authorized_official_last_name": "SETHNA",
"authorized_official_first_name": "JERRI",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PSYCHIATRIST",
"authorized_official_telephone_number": "281-397-0200",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "H3523",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128369901",
"state": "TX"
}
],
"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 Dec 1, 2010; 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.