Active NPI
Jabria Nicole Stephens, M.A., LSSP
- School Psychologist
- Pasadena, TX
National Provider Identifier
1720715428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 72532
- Practice address
- 1515 Cherrybrook LN
Pasadena, TX 77502-4048 - Phone
- (713) 740-0000
- NPI assigned
- Aug 2, 2022
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 72532 | TX | Primary |
Addresses
Primary practice location
1515 Cherrybrook LN
Pasadena, TX 77502-4048
Mailing address
9779 Fannin Railway
Apt 1321
Houston, TX 77045-6621
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 |
|---|---|---|---|
| 72532 | TX | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1720715428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9779 FANNIN RAILWAY",
"address_2": "APT 1321",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770456621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 CHERRYBROOK LN",
"city": "PASADENA",
"state": "TX",
"postal_code": "775024048",
"telephone_number": "713-740-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "JABRIA",
"middle_name": "NICOLE",
"credential": "M.A., LSSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-02",
"last_updated": "2023-12-07",
"certification_date": "2023-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "TX",
"license": "72532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.