Active NPI
Kingwood TMS & Psychiatry
- Psychiatry Physician
- Humble, TX
National Provider Identifier
1871096388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Aerospace Medicine Physician | 2083A0100X | |||
| Psychiatry Physician | 2084P0800X | Primary | ||
| Child & Adolescent Psychiatry Physician | 2084P0804X | |||
| Gerontology Nurse Practitioner | 363LG0600X | |||
| Psychiatric/Mental Health Nurse Practitioner | 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 DirectoryLocations
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.
-
- Clinical Psychologist
- Humble, TX
- NPI 1265441802
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
- Kings Pediatrics LLC
- Kingwood ASC, LP (North Houston Cardiovascular Surgery Center)
- Kingwood Home Health Care, LLC (Health Solutions Home Health)
- Kingwood Surgery Center LLC (Humble Kingwood Endoscopy Center)
- Kingwood Surgical Hospital, PLLC
- Lillia Kirkmon
- Yoshida J Kirkwood, P.A.-C.
- Elizabeth Ann Kite, BCBA
- Ursula Kizzee, RN
- KL Surgical Holdings, PA
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.