Active NPI
Jennifer Reck-Gordy, PHD
- Clinical Psychologist
- Houston, TX
National Provider Identifier
1861815847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 36707
- Practice address
- 4314 Yoakum Blvd
Houston, TX 77006-5864 - Phone
- (713) 850-0049
- Fax
- (713) 627-7302
- NPI assigned
- Jan 28, 2014
- Last updated
- Jan 28, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 36707 | TX | Primary |
Addresses
Primary practice location
4314 Yoakum Blvd
Houston, TX 77006-5864
Mailing address
4314 Yoakum Blvd
Houston, TX 77006-5864
Phone (713) 850-0049
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36707 | TX | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solace Management LC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatric/Mental Health Nurse Practitioner
- Missouri City, TX
- NPI 1861053514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390867200000",
"number": "1861815847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4314 YOAKUM BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770065864",
"telephone_number": "713-850-0049",
"fax_number": "713-627-7302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4314 YOAKUM BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770065864",
"telephone_number": "713-850-0049",
"fax_number": "713-627-7302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RECK-GORDY",
"first_name": "JENNIFER",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-28",
"last_updated": "2014-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "36707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.