MR. JIMMIE C. WHITLEY (NPI# 1376605998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376605998 |
| Entity Type | Individual |
| Full Name | MR. JIMMIE C. WHITLEY |
| Credential | ED.D. |
| Practice Address |
1125 Cypress Station Dr Building B-1 Houston TX 77090-3054 |
| Practice Telephone | 2815377207 |
| Practice Fax Number | 2815805061 |
| Mailing Telephone | 2815377207 |
| Mailing Fax Number | 2815805061 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2009-03-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
TX2-1974 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 115635801 | 05 |
| Street Address |
1125 CYPRESS STATION DR BUILDING B-1 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77090-3054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497743462 | Mohsin K Bajwa | Internal Medicine | 1125 Cypress Station Dr, Suite E, Houston, TX 77090-3054 | 2005-10-12 |
| 1508113762 | Doctors for Women, Pllc | Obstetrics & Gynecology | 1125 Cypress Station Dr, Bldg C Suite 9, Houston, TX 77090-3054 | 2012-08-07 |
| 1124374905 | Vetrxmeds Inc | Pharmacy | 1125 Cypress Station Dr, Ste B3, Houston, TX 77090-3054 | 2012-07-30 |
| 1235467218 | Cypress Station Sleep Center Inc | Clinic/Center | 1125 Cypress Station Dr, Suite E, Houston, TX 77090-3055 | 2009-12-02 |
| 1033445804 | Elizabeth Rocio Ramos-salazar | Internal Medicine | 1125 Cypress Station Dr, Suite G1, Houston, TX 77090-3054 | 2009-10-28 |
| 1992944433 | Jean Onwuchekwa Ekwenibe | Internal Medicine | 1125 Cypress Station Dr, Ste A-3, Houston, TX 77090-3055 | 2009-02-06 |
| 1861630493 | Regional Digestive Consultants P A | Internal Medicine | 1125 Cypress Station Dr, Ste A, Houston, TX 77090-3054 | 2009-02-04 |
| 1619113073 | Advacardio Pllc | Internal Medicine | 1125 Cypress Station Dr, Ste A3, Houston, TX 77090-3054 | 2009-01-06 |
| 1699923466 | Lk & D Enterprises LLC | Psychiatry & Neurology | 1125 Cypress Station Dr, Bldg B #1 & #2, Houston, TX 77090-1602 | 2008-09-04 |
| 1497917553 | Junuk Kim | Surgery | 1125 Cypress Station Dr, Suite G3, Houston, TX 77090-3054 | 2008-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327579 | Chau Nguyen | Pharmacist | 1403 Cypress Creek Pkwy, Houston, TX 77090 | 2020-08-17 |
| 1609435502 | Cordelia Ogechi Egwim | Nurse Practitioner | 110 Cypress Station Drive #270, Houston, TX 77090 | 2019-06-13 |
| 1710496229 | Shamekkia Lashawn Basey | Nurse Practitioner | 1125 Cypress Station Dr Ste B-4, Houston, TX 77090 | 2017-09-27 |
| 1861914780 | Troya Vaniver Rodgers | Clinic/Center | 200 Dominion Park Drive, 1127, Houston, TX 77090 | 2017-07-12 |
| 1760911333 | Diabetes Relief Houston The Woodlands LLC | Clinic/Center | 17434 Red Oak, Suite D, Houston, TX 77090 | 2017-06-07 |
| 1043744790 | Kenneth Willie Dickerson Sr. | Driver | 15530 Ella Blvd Apt 719, Houston, TX 77090 | 2017-04-19 |
| 1740728005 | Meisha Lorraine Smith | Nurse Practitioner | 920 Medical Plaza Blvd, 450, Houston, TX 77090 | 2017-02-07 |
| 1336503648 | Guided Insight Behavioral Health Pllc | Case Management | 11757 Katy Freeway, Suite 1300, Katy, TX 77090 | 2016-04-12 |
| 1134508302 | Compassionate Health Care | Home Health | 601 Cypress Station #408, Houston, TX 77090 | 2015-05-21 |
| 1811386360 | Minal Akshay Patel | Chiropractor | 14755 N. Freeway, Suite 400, Houston, TX 77090 | 2015-01-21 |
| Find all providers in zip 77090 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821627969 | Jannis Faye Moody | Psychologist | 11250 West Rd Ste E, Houston, TX 77065-4439 | 2020-04-01 |
| 1609404771 | La Shaun Arzu Pllc | Psychologist | 8530 S Braeswood Blvd, Houston, TX 77071-1108 | 2020-04-01 |
| 1518590025 | Carla Sharp | Psychologist | Health 2 Building 4849 Calhoun Rd Suite 1001a, Houston, TX 77204-0001 | 2020-02-13 |
| 1295399707 | Mary Cassondra Reissinger | Psychologist | 1502 Taub Loop Ste 4.229, Houston, TX 77030-1608 | 2019-04-30 |
| 1134696826 | Adriane De Freitas Barroso | Psychologist | 7670 Woodway Dr Ste 360, Houston, TX 77063 | 2018-10-31 |
| 1922582741 | Anthony Ecker | Psychologist | 2002 Holcombe Blvd # Nc152, Houston, TX 77030-4211 | 2018-09-18 |
| 1295217503 | New Way Psychological Services, Pllc | Psychologist | 2100 West Loop South Suite 800, Houston, TX 77027 | 2018-09-04 |
| 1750872537 | Rose Haney | Psychologist | 13700 Veterans Memorial Dr # 245, Houston, TX 77014-1026 | 2018-05-28 |
| 1619476017 | Nicole Entrekin | Psychologist | 10411 South Dr, Houston, TX 77099-2876 | 2018-02-12 |
| 1669908398 | Inspirar Counseling Services, Pllc | Psychologist | 4500 Montrose Blvd Ste F, Houston, TX 77006-5842 | 2017-05-01 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.