Active NPI
Jonathan Parks Fillauer
- Clinical Neuropsychologist
- League City, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 40228
- Practice address
- 112 Magnolia Estates Dr
League City, TX 77573-4613 - Phone
- (888) 606-0086
- NPI assigned
- Jun 6, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 40228 | TX | Primary |
| Clinical Psychologist | 103TC0700X | 40228 | TX |
Addresses
Primary practice location
112 Magnolia Estates Dr
League City, TX 77573-4613
Mailing address
112 Magnolia Estates Dr
League City, TX 77573-4719
Phone (888) 606-0086
Other practice location 1
7070 Knights Ct Ste 1304
Missouri City, TX 77459-5525
Phone (888) 606-0086
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
112 Magnolia Estates Dr
League City, TX 77573-4613
Phone (281) 954-6828
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.25 of 100
- Quality
- 63.07
- Improvement activities
- 40
- Cost
- 77.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40228 | TX | MD | Clinical Psychologist |
| 4440 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurocognitive Specialty Group, PLLC | Clinical Neuropsychologist | Current | Accepting new patients |
Locations
112 Magnolia Estates Dr
League City, TX 77573
Phone (281) 954-6828
7070 Knights Ct
Ste 1304
Missouri City, TX 77459
Phone (281) 954-6628
Organizations & group practices 1
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.
-
- Clinical Neuropsychologist
- League City, TX
- NPI 1346700275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1760911564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 MAGNOLIA ESTATES DR",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775734719",
"telephone_number": "888-606-0086",
"fax_number": "346-223-0296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 MAGNOLIA ESTATES DR",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775734613",
"telephone_number": "888-606-0086"
}
],
"practiceLocations": [
{
"address_1": "7070 Knights Ct Ste 1304",
"address_purpose": "LOCATION",
"city": "Missouri City",
"state": "TX",
"postal_code": "774595525",
"country_code": "US",
"telephone_number": "888-606-0086",
"fax_number": "346-223-0296",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FILLAUER",
"first_name": "JONATHAN",
"middle_name": "PARKS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-06",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "TX",
"license": "40228",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "40228",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in League City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.