Stephen J Parham, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2-2693 Issued in TX

Practice address

1610 Woodstead CT
Suite 420
The Woodlands, TX 77380-3413

Phone

(281) 363-4220

Fax

(281) 364-9404

NPI assigned

Aug 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 27, 2024 through May 27, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Woodlands Family Institute, PC

  • Clinical Psychologist
  • The Woodlands, TX
  • NPI 1891961090
  NPD (past) Authorized official

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801804406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 WOODSTEAD CT",
            "address_2": "SUITE 420",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803413",
            "telephone_number": "281-363-4220",
            "fax_number": "281-364-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 WOODSTEAD CT",
            "address_2": "SUITE 420",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803413",
            "telephone_number": "281-363-4220",
            "fax_number": "281-364-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARHAM",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "2-2693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "0004NF",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Panther Creek Medical Center P.a.
• Nicholas Alexander Pappas, DDS, MSD
• Parakaleo Counseling Services PLLC
• Monica Pardo
• Joanne S Parham, PHD
• Ritu Parikh, M.D.
• Melissa Paris, LPC
• Jaylynn A Park, LM, CPM
• Frank Alexander Parke, MD
• Stephanie Johnson Parke, DDS

• Clinical Psychologist in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.