Your Family Psychiatrist, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

YOUR FAMILY PSYCHIATRIST, PLLC

Practice address

12250 Queenston Blvd Ste E
Houston, TX 77095-5343

Phone

(281) 849-4080

Fax

(281) 557-3909

NPI assigned

Jul 27, 2015

Last updated

Nov 17, 2021By 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. Jared Heathman, M.D.NPI 1972820215

Title

Owner

Phone

(281) 849-4080

Specialties & licenses 1

Addresses

Locations

Practitioners 5

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.

• Jared Heathman, MD

  • Psychiatry Physician
  • Cypress, TX
  • NPI 1972820215
  NPD Authorized official
• Matthew Eugene Hinthorn, M. D.

  • Psychiatry Physician
  • Houston, TX
  • NPI 1922316462
  NPD
• Natalie Elizabeth Keller, M.D.

  • Child & Adolescent Psychiatry Physician
  • Houston, TX
  • NPI 1336536622
  NPD
• Wilfrido Omar Dominguez, M.D.

  • Psychiatry Physician
  • Houston, TX
  • NPI 1285945774
  NPD (past)
• Kaley Anne Greear Goncalves, LPC

  • Professional Counselor
  • Houston, TX
  • NPI 1437911567
  NPD (past)

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1922483312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12247 QUEENSTON BLVD STE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770955343",
            "telephone_number": "281-849-4080",
            "fax_number": "281-557-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12250 QUEENSTON BLVD STE E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770955343",
            "telephone_number": "281-849-4080",
            "fax_number": "281-557-3909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17510 Huffmeister Rd",
            "address_2": "#105",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774296785",
            "country_code": "US",
            "telephone_number": "281-849-4080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YOUR FAMILY PSYCHIATRIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "HEATHMAN",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-849-4080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Houston, TX
• Providers in Houston, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.