Active NPI
Brianna Renee Stith Maronie, PH.D.
- Clinical Psychologist
- Houston, TX
National Provider Identifier
1881250330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 38953
- Practice address
- 3811 Lyons Ave
Houston, TX 77020-8306 - Phone
- (832) 548-5000
- NPI assigned
- May 10, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 38953 | TX | |
| Clinical Psychologist | 103TC0700X | 06581 | MD | |
| Clinical Psychologist | 103TC0700X | 38953 | TX | Primary |
Addresses
Primary practice location
3811 Lyons Ave
Houston, TX 77020-8306
Mailing address
PO Box 66308
Houston, TX 77266-6308
Other practice location 1
4301 Garth Rd Ste 306400
Baytown, TX 77521-3153
Phone (832) 548-5000
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38953 | TX | MD | Psychologist |
| 06581 | MD | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brianna Maronie PHD | Clinical | Current | Accepting new patients |
Locations
2401 Yale St
Houston, TX 77008
Phone (713) 884-6204
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Houston, TX
- NPI 1134932999
-
- Federally Qualified Health Center (FQHC)
- Houston, TX
- NPI 1679524961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699142400000",
"number": "1881250330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 66308",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772666308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3811 LYONS AVE",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770208306",
"telephone_number": "832-548-5000"
}
],
"practiceLocations": [
{
"address_1": "4301 Garth Rd Ste 306400",
"address_purpose": "LOCATION",
"city": "Baytown",
"state": "TX",
"postal_code": "775213153",
"country_code": "US",
"telephone_number": "832-548-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARONIE",
"first_name": "BRIANNA",
"middle_name": "RENEE STITH",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-10",
"last_updated": "2023-11-05",
"certification_date": "2023-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "38953",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "06581",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "38953",
"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 Nov 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.