Organization Active NPI

Kingwood TMS & Psychiatry

  • Psychiatry Physician
  • Humble, TX
National Provider Identifier
1871096388
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
KINGWOOD TMS & PSYCHIATRY
Practice address
20550 Townsen Blvd Ste 101
Humble, TX 77338-4445
Phone
(832) 879-2107
Fax
(832) 442-5044
NPI assigned
Mar 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2018

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

Authorized official

Name
Mr. Jimmie Evans Jr., BSM
Title
Office Manager
Phone
(832) 879-2107

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Aerospace Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083A0100X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X
Gerontology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LG0600X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

20550 Townsen Blvd Ste 101
Humble, TX 77338-4445

Mailing address

20550 Townsen Blvd Ste 101
Humble, TX 77338-4445
Phone (832) 879-2107

National Provider Directory

National Provider Directory

Locations

20550 Townsen Blvd
Ste 101
Humble, TX 77338
Phone (832) 879-2107

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1520640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520812800000",
    "number": "1871096388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20550 TOWNSEN BLVD STE 101",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384445",
            "telephone_number": "832-879-2107",
            "fax_number": "832-442-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20550 TOWNSEN BLVD STE 101",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384445",
            "telephone_number": "832-879-2107",
            "fax_number": "832-442-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGWOOD TMS & PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-10",
        "last_updated": "2018-03-12",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JIMMIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "832-879-2107",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "BSM"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; 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.