Organization Active NPI

SP Behavioral PLLC

Doing business as Simmons Psychiatry

  • Psychiatry Physician
  • Missouri City, TX
National Provider Identifier
1730642943
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SP BEHAVIORAL PLLC
Doing business as
Simmons Psychiatry
Practice address
3777 Sienna Pkwy
Missouri City, TX 77459-6015
Phone
(281) 849-8079
Fax
(832) 529-3246
NPI assigned
Apr 14, 2019
Last updated
May 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2020

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

Authorized official

Name
Dr. Kevin James Simmons, M.D.NPI 1255479887
Title
Owner
Phone
(281) 849-8079

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary
Child & Adolescent Psychiatry Physician 2084P0804X NU

Addresses

Primary practice location

3777 Sienna Pkwy
Missouri City, TX 77459-6015

Mailing address

3777 Sienna Pkwy
Missouri City, TX 77459-6015
Phone (281) 849-8079

Other practice location 1

9003 Havensight Mall
317-318
St. Thomas, VI 00802
Phone (340) 777-7735

Other identifiers 2

IdentifierTypeStateIssuer
1255479887OtherTXNPI
1114427309OtherTXNPI

Other names 1

  • Simmons Psychiatry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1555200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588291200000",
    "number": "1730642943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3777 SIENNA PKWY",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774596015",
            "telephone_number": "281-849-8079",
            "fax_number": "832-529-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3777 SIENNA PKWY",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774596015",
            "telephone_number": "281-849-8079",
            "fax_number": "832-529-3246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9003 Havensight Mall",
            "address_2": "317-318",
            "address_purpose": "LOCATION",
            "city": "St. Thomas",
            "state": "VI",
            "postal_code": "00802",
            "country_code": "US",
            "telephone_number": "340-777-7735",
            "fax_number": "832-529-3246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SP BEHAVIORAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-14",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-849-8079",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1255479887",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1114427309",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simmons Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Simmons Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; 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.