Active NPI
Jane L Jooste, PH.D.
- Psychologist
- Southlake, TX
National Provider Identifier
1780256529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 34067
- Practice address
- 1723 E Southlake Blvd Ste 200
Southlake, TX 76092-6445 - Phone
- (214) 494-1742
- NPI assigned
- Jul 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 34067 | TX | Primary |
Addresses
Primary practice location
1723 E Southlake Blvd Ste 200
Southlake, TX 76092-6445
Mailing address
4320 Fairway Dr
Flower Mound
Flower Mound, TX 75028-8520
Phone (817) 915-4275
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34067 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1780256529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4320 FAIRWAY DR",
"address_2": "FLOWER MOUND",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750288520",
"telephone_number": "817-915-4275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1723 E SOUTHLAKE BLVD STE 200",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926445",
"telephone_number": "214-494-1742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOOSTE",
"first_name": "JANE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-12",
"last_updated": "2021-07-12",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "34067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.