JO ANN FORMBY (NPI# 1154342855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154342855 |
| Entity Type | Individual |
| Full Name | JO ANN FORMBY |
| Credential | PSY.D. |
| Practice Address |
11999 Katy Fwy Suite 490 Houston TX 77079-1611 |
| Practice Telephone | 7133650700 |
| Practice Fax Number | 7138271080 |
| Mailing Telephone | 7133650700 |
| Mailing Fax Number | 7138271080 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2012-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
15634 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS OF TX | 87140A | 01 |
| Street Address |
11999 KATY FWY SUITE 490 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77079-1611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861494288 | Kevin Payne Glasser | Counselor | 11999 Katy Fwy, Suite 490, Houston, TX 77079-1605 | 2005-08-15 |
| 1609390137 | Terrionee Garrett | Registered Nurse | 11999 Katy Fwy, Ste 396, Houston, TX 77079 | 2017-07-26 |
| 1861924102 | Kelly Turner | Counselor | 11999 Katy Fwy, Suite 490, Houston, TX 77079-1611 | 2017-03-28 |
| 1407305279 | Daniel Hayes | Counselor | 11999 Katy Fwy, Suite 490, Houston, TX 77079-1611 | 2016-09-22 |
| 1306293980 | Heather Stroud | Counselor | 11999 Katy Fwy, Suite 490, Houston, TX 77079-1611 | 2016-05-24 |
| 1861867061 | Clarinda Bell-fletcher | Counselor | 11999 Katy Fwy, Suite 490, Houston, TX 77079-1611 | 2015-12-14 |
| 1245604982 | Mary Blunt | Counselor | 11999 Katy Fwy, Suite 530, Houston, TX 77079-1611 | 2015-11-18 |
| 1972975514 | Changing Tides Consulting, LLC | Counselor | 11999 Katy Fwy, Suite 530, Houston, TX 77079-1611 | 2015-10-22 |
| 1386044949 | Kevin Spain | Counselor | 11999 Katy Fwy, Suite 530, Houston, TX 77079-1611 | 2014-09-01 |
| 1700294188 | Jan Halfin | Counselor | 11999 Katy Fwy, Suite 230, Houston, TX 77079-1611 | 2014-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982213542 | Apg Ancillaries LLC | Durable Medical Equipment & Medical Supplies | 14811 Saint Marys Ln Ste 152, Houston, TX 77079 | 2020-07-29 |
| 1982244174 | Agatha Nwosu | Registered Nurse | 1155 Dairy Ashford Rd Suite 560, Houston, TX 77079 | 2020-01-15 |
| 1164924650 | Victoria Okon | Licensed Vocational Nurse | 14461 Still Meadow Dr., Houston, TX 77079 | 2018-03-01 |
| 1649711623 | Deon Flenoy | Case Manager/Care Coordinator | 14027 Memorial Dr # 419, Houston, TX 77079 | 2017-03-10 |
| 1396298428 | Supriya Krishnan | Optometrist | 14634 Memorial Dr, Houston, TX 77079 | 2016-07-25 |
| 1942670401 | Medfast Pediatric & Family Clinic | Nurse Practitioner | 14520 Old Katy Rd, St 109, Houston, TX 77079 | 2015-09-28 |
| 1558742106 | Evan Christopher Adams | Dentist | 909 Dairy Ashford Rd Ste 104, Houston, TX 77079 | 2015-06-09 |
| 1114313152 | Yun Li | Internal Medicine | 13140 Trail Hollow Dr, Houston, TX 77079 | 2015-04-07 |
| 1629460308 | Michelle Maligaya | Registered Nurse | 1201 N Dairy Ashford Rd Ste 100, Houston, TX 77079 | 2015-03-04 |
| 1144611989 | Ryan M Keutzer | Hearing Instrument Specialist | 12900 Queensbury Ln #100, Houston, TX 77079 | 2015-02-16 |
| Find all providers in zip 77079 | ||||
| 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.