Organization Active NPI

Crosno Family Psychology Clinic LLC

  • Clinical Psychologist
  • Kingwood, TX
National Provider Identifier
1740497338
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CROSNO FAMILY PSYCHOLOGY CLINIC LLC
Practice address
4439 Town Center PL
Kingwood, TX 77339-3714
Phone
(281) 361-0777
Fax
(281) 361-5777
NPI assigned
May 16, 2007
Last updated
Jun 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Authorized official

Name
Crystal D Rhoads
Title
Office Manager
Phone
(281) 361-0777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

4439 Town Center PL
Kingwood, TX 77339-3714

Mailing address

4439 Town Center PL
Kingwood, TX 77339-3714
Phone (281) 361-0777

Other identifiers 1

IdentifierTypeStateIssuer
79MSOtherTXGROUP NUMBER FOR BCBS

Other names 1

  • The Family Psychology Clinic of Kingwood Other name

National Provider Directory

National Provider Directory

Locations

2606 Bens Branch Dr
Ste C
Kingwood, TX 77339
Phone (281) 361-0777

4439 Town Center Pl
Kingwood, TX 77339
Phone (281) 361-0777

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": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1740497338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4439 TOWN CENTER PL",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393714",
            "telephone_number": "281-361-0777",
            "fax_number": "281-361-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4439 TOWN CENTER PL",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393714",
            "telephone_number": "281-361-0777",
            "fax_number": "281-361-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSNO FAMILY PSYCHOLOGY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "RHOADS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "281-361-0777"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NUMBER FOR BCBS",
            "identifier": "79MS",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Family Psychology Clinic of Kingwood",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.