Individual provider Active NPI

Pamela Gretchen Browne, PH.D.

  • Clinical Psychologist
  • League City, TX
National Provider Identifier
1760560403
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
31514 Issued in TX
Practice address
216 N Michigan Ave
League City, TX 77573-2431
Phone
(281) 332-5100
Fax
(281) 332-5155
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 31514 TX Primary

Addresses

Primary practice location

216 N Michigan Ave
League City, TX 77573-2431

Mailing address

216 N Michigan Ave
League City, TX 77573-2431
Phone (281) 332-5100

Other identifiers 1

IdentifierTypeStateIssuer
150640401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060404000120 TX Practitioner - Clinical Psychologist 4082622923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

216 N Michigan Ave
League City, TX 77573-2431
Phone (281) 535-8500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
31514TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Psychology Resources, PC Clinical CurrentSince Oct 22, 2008 Accepting new patients
Jennifer L. Bissett, PH.D., PC Past Accepting new patients

Locations

18333 Egret Bay Blvd
Ste 585
Houston, TX 77058
Phone (281) 335-3941

216 N Michigan Ave
League City, TX 77573
Phone (281) 332-5100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217376000000",
    "number": "1760560403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 N MICHIGAN AVE",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732431",
            "telephone_number": "281-332-5100",
            "fax_number": "281-332-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N MICHIGAN AVE",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732431",
            "telephone_number": "281-332-5100",
            "fax_number": "281-332-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWNE",
        "first_name": "PAMELA",
        "middle_name": "GRETCHEN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "31514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150640401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

Verify at the official NPI Registry.