Gina Dunckel PSYD PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

GINA DUNCKEL PSYD PLLC

Practice address

1500 Marina Bay Dr BLDG 113E
Clear Lake Shores, TX 77565-2263

Phone

(281) 910-3303

NPI assigned

Apr 24, 2019

Last updated

Jun 22, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gina N Dunckel Smith, PSYDNPI 1518374982

Title

Licensed Psychologist

Phone

(281) 910-3313

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Gina N Dunckel Smith, PSY.D.

  • Psychologist
  • Clear Lake Shores, TX
  • NPI 1518374982
  NPD Authorized official

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1780248989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 303",
            "city": "KEMAH",
            "state": "TX",
            "postal_code": "775650303",
            "telephone_number": "281-910-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 MARINA BAY DR BLDG 113E",
            "city": "CLEAR LAKE SHORES",
            "state": "TX",
            "postal_code": "775652263",
            "telephone_number": "281-910-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINA DUNCKEL PSYD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "N DUNCKEL",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "281-910-3313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1518374982",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Compass of Calm, PLLC
• CVS Pharmacy Inc (CVS Pharmacy #16716)
• Amanda Marie Dunn, LCSW-S
• Philip Allen Head Jr., M.D.
• Ingrid Euphemia Weaver (Speech Therapy Solution)
• Psychologia-TX, Inc.
• Gina N Dunckel Smith, PSY.D.
• Haiyen Vo

• Clinical Psychologist in Clear Lake Shores, TX
• Providers in Clear Lake Shores, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.