Individual provider Active NPI

James S. Guerrero, PSY. D.

  • Psychologist
  • Stafford, TX
National Provider Identifier
1851543839
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
33789 Issued in TX
Practice address
4434 Bluebonnet Dr # 116
Stafford, TX 77477-2904
Phone
(281) 685-4587
Fax
(281) 302-5571
NPI assigned
Oct 21, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 33789 TX Primary

Addresses

Primary practice location

4434 Bluebonnet Dr # 116
Stafford, TX 77477-2904

Mailing address

10498 Fountain Lake Dr Apt 1128
Stafford, TX 77477-3766
Phone (281) 685-4587

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081223000500 TX Practitioner - Clinical Psychologist 4587726617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bliss Advanced Clinical Solutions, PLLCGroup PAC ID 8628332954, 3 clinicians

Practice addresses (Care Compare)

2422 Fairbreeze Dr
Katy, TX 77494-5102
Phone (281) 940-9229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
33789TXMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bliss Advanced Clinical Solutions, PLLC CurrentSince May 1, 2021 Accepting new patients
Guean LLC Psychologist CurrentSince Oct 29, 2023 Accepting new patients
Parkview Psychological Services, PC PastSince Sep 21, 2013 Accepting new patients

Locations

4434 Bluebonnet Dr
#116
Stafford, TX 77477
Phone (281) 685-4587

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1851543839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10498 FOUNTAIN LAKE DR APT 1128",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773766",
            "telephone_number": "281-685-4587",
            "fax_number": "281-302-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4434 BLUEBONNET DR # 116",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774772904",
            "telephone_number": "281-685-4587",
            "fax_number": "281-302-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "JAMES",
        "middle_name": "S.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-21",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "33789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

Verify at the official NPI Registry.