Organization Active NPI

Southern Star Psychology, PLLC

  • Psychologist
  • Tomball, TX
National Provider Identifier
1780171892
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
37325 Issued in TX
Legal business name
SOUTHERN STAR PSYCHOLOGY, PLLC
Practice address
990 Village Square Dr Ste G200
Tomball, TX 77375-4271
Phone
(281) 939-3259
NPI assigned
Apr 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Authorized official

Name
Dr. Allison Michelle Jones, PSYD
Title
Managing Member
Phone
(281) 939-3259

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 37325 TX Primary

Addresses

Primary practice location

990 Village Square Dr Ste G200
Tomball, TX 77375-4271

Mailing address

990 Village Square Dr Ste G200
Tomball, TX 77375-4271
Phone (281) 939-3259

National Provider Directory

National Provider Directory

Locations

990 Village Square Dr
Ste G200
Tomball, TX 77375
Phone (281) 939-3259

NPI Registry JSON

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523836800000",
    "number": "1780171892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 VILLAGE SQUARE DR STE G200",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754271",
            "telephone_number": "281-939-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 VILLAGE SQUARE DR STE G200",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754271",
            "telephone_number": "281-939-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN STAR PSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-04-16",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "281-939-3259",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "37325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.