Psychological Associates of Clear Lake

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

23621 Issued in TX

Legal business name

PSYCHOLOGICAL ASSOCIATES OF CLEAR LAKE

Practice address

1560 Live Oak St
Suite B
Webster, TX 77598-4147

Phone

(281) 554-6100

Fax

(281) 554-6133

NPI assigned

Aug 4, 2006

Last updated

Jun 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Jones, PH.D.NPI 1205844339

Title

Owner

Phone

(281) 554-6100

Specialties & licenses 1

Addresses

Other names 1

• Psychological Associates Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

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.

• Michael Jones, PH.D.

  • Clinical Psychologist
  • Webster, TX
  • NPI 1205844339
  Medicare reassignment Care Compare group Authorized official
• Lesli Zinn, PH.D.

  • Clinical Psychologist
  • Houston, TX
  • NPI 1881602944
  Medicare reassignment Care Compare group
• Lindsay Weinmann

  • Professional Counselor
  • Webster, TX
  • NPI 1104459361
  NPD
• Angela K Waggoner, PH.D., LPC-S , NCC

  • School Counselor
  • Friendswood, TX
  • NPI 1194060434
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1871501932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 LIVE OAK ST",
            "address_2": "SUITE B",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984147",
            "telephone_number": "281-554-6100",
            "fax_number": "281-554-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 LIVE OAK ST",
            "address_2": "SUITE B",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984147",
            "telephone_number": "281-554-6100",
            "fax_number": "281-554-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL ASSOCIATES OF CLEAR LAKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-554-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "23621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psychological Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Psychologist in Webster, TX
• Providers in Webster, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.