CROSNO FAMILY PSYCHOLOGY CLINIC LLC (NPI# 1740497338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740497338 |
| Entity Type | Organization |
| Organization Name | CROSNO FAMILY PSYCHOLOGY CLINIC LLC |
| Other Organization Name | THE FAMILY PSYCHOLOGY CLINIC OF KINGWOOD |
| Practice Address |
4439 Town Center Pl Kingwood TX 77339-3714 |
| Practice Telephone | 2813610777 |
| Practice Fax Number | 2813615777 |
| Mailing Telephone | 2813610777 |
| Mailing Fax Number | 2813615777 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2010-06-16 |
| Authorized Official Name | CRYSTAL D RHOADS (OFFICE MANAGER) |
| Authorized Official Telephone | 2813610777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | GROUP NUMBER FOR BCBS | 79MS | 01 |
| Other Name | Type Code |
|---|---|
| The Family Psychology Clinic of Kingwood | Other Name - Individual/Organization |
| Street Address |
4439 TOWN CENTER PL |
| City | KINGWOOD |
| State | TX |
| Zip Code | 77339-3714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699880021 | Julie Ivory Mosier | Psychologist | 4439 Town Center Pl, Kingwood, TX 77339-3714 | 2006-08-19 |
| 1518308618 | Judith Irene Nugent | Rehabilitation Practitioner | 4439 Town Center Pl, Kingwood, TX 77339-3714 | 2013-07-17 |
| 1124469242 | Carrie Istre | Specialist/Technologist | 4439 Town Center Pl, Kingwood, TX 77339-3714 | 2013-07-17 |
| 1649611757 | Adrienne Thompson | Specialist/Technologist | 4439 Town Center Pl, Kingwood, TX 77339-3714 | 2013-07-17 |
| 1306284146 | Angels and Achievers | Optometrist | 4439 Town Center Pl, Kingwood, TX 77339-3714 | 2013-06-13 |
| 1992078430 | Jenny Jacobs Counseling, Pllc | Counselor | 4439 Town Center Pl, Kingwood, TX 77339-3714 | 2012-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851913669 | Robert Rowlands | Student in an Organized Health Care Education/Training Program | 22999 Us Hwy 59 N, Kingwood, Tx, 77339, Kingwood, TX 77339 | 2020-05-14 |
| 1295356467 | Christopher Dilger | Student in an Organized Health Care Education/Training Program | 22999 Us Hwy 59 N, Gme Suite 105, Kingwood, TX 77339 | 2020-04-29 |
| 1427600337 | Lynda Nguyen | Nurse Practitioner | 24006 Highway 59 N, Kingwood, TX 77339 | 2019-07-11 |
| 1215599139 | H-e-b, Lp | Clinical Medical Laboratory | 19529 Northpark Drive, Kingwood, TX 77339 | 2019-07-01 |
| 1639631492 | Trung Nguyen | Student in an Organized Health Care Education/Training Program | 22999 Us 59 N, Kingwood, TX 77339 | 2019-04-02 |
| 1467913673 | Bhavin G Shah | Student in an Organized Health Care Education/Training Program | 22999 Us-59 N, Kingwood, Tx 77339, Kingwood, TX 77339 | 2019-03-29 |
| 1164999462 | Erica Peters | Behavior Technician | 2825 W. Town Center Circle, Kingwood, TX 77339 | 2018-10-25 |
| 1780162040 | Kaldan Inc | Dentist | 23812 Hwy 59 North, Kingwood, TX 77339 | 2018-07-30 |
| 1457845745 | John Micheal Leondike | Nurse Practitioner | 2665 Royal Forrest Dr., Ste B-150, Kingwood, TX 77339 | 2018-06-19 |
| 1780173161 | Pta Home Health Care | Home Health | 5606 Rocky Trail Dr, Kingwood, TX 77339 | 2018-05-01 |
| Find all providers in zip 77339 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487927174 | Amie Marie Allain | Psychologist | 2316 Timber Shadows Dr, Suite 200, Kingwood, TX 77339-4200 | 2012-02-12 |
| 1831399831 | Sarah A Webb | Psychologist | 1210a Stonehollow Dr, Kingwood, TX 77339-2033 | 2007-07-19 |
| 1508992330 | Laura Ann Secrest | Psychologist | 800 Rockmead Dr, Suite 175, Kingwood, TX 77339-2112 | 2007-02-26 |
| 1699880021 | Julie Ivory Mosier | Psychologist | 4439 Town Center Pl, Kingwood, TX 77339-3714 | 2006-08-19 |
| 1366451254 | Doreen Marie Brubaker | Psychologist | 3410 Beech Point Dr, Kingwood, TX 77345-1313 | 2006-08-07 |
| 1477572782 | Susan G Pollard | Psychologist | 1420 Stonehollow Dr Ste C, Kingwood, TX 77339-2494 | 2006-07-18 |
| 1467889816 | Katherine Castillo Maddox | Psychologist | 1521 Green Oak Pl, Suite 250, Kingwood, TX 77339-2057 | 2013-10-01 |
| 1033469929 | Siji Lizza John | Psychologist | 1521 Green Oak Pl, Suite 250, Kingwood, TX 77339-2057 | 2012-09-18 |
| 1801115126 | Laura Secrest, Ph.d., Pllc | Psychologist | 800 Rockmead Dr, Suite 175, Kingwood, TX 77339-2112 | 2010-05-26 |
| 1356487342 | Dennis Nelson | Psychologist | 1543 Green Oak Pl, Ste.101, Kingwood, TX 77339-2007 | 2007-01-29 |
| Find all providers in KINGWOOD | ||||
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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.