Individual provider Active NPI

Jannette Cross, PH.D.

  • Clinical Psychologist
  • The Woodlands, TX
National Provider Identifier
1922014166
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
37288 Issued in TX
Practice address
4747 Research Forest Dr Suite 180 #559
The Woodlands, TX 77381-1716
Phone
(832) 728-9398
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2003011958 MO
Clinical Psychologist 103TC0700X 37288 TX Primary

Addresses

Primary practice location

4747 Research Forest Dr Suite 180 #559
The Woodlands, TX 77381-1716

Mailing address

4747 Research Forest Dr Suite 180 #559
The Woodlands, TX 77381-1716
Phone (832) 728-9398

Other identifiers 1

IdentifierTypeStateIssuer
491360103MedicaidMO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190510000291 TX Practitioner - Clinical Psychologist 6800885112 Practice locations: The Woodlands, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2203 Timberloch PL
Suite 100
The Woodlands, TX 77380-1103
Phone (832) 728-9398

74 Cokeberry CT
The Woodlands, TX 77380-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1922014166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 RESEARCH FOREST DR SUITE 180 #559",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773811716",
            "telephone_number": "832-728-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 RESEARCH FOREST DR SUITE 180 #559",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773811716",
            "telephone_number": "832-728-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "JANNETTE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2003011958",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "37288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "491360103",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.