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CLEARLAKE KIDS PSYCHIATRY
NPI 1447708128
Physician Assistant in Houston, TX

Active since September 12, 2016
17226 MERCURY DR, SUITE 100, HOUSTON, TX 77058(281) 975-0600 Get Directions Write a Review

NPPES record last updated: September 5, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clearlake Kids Psychiatry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLEARLAKE KIDS PSYCHIATRY (NPI 1447708128) is a healthcare organization registered as a physician assistant in Houston, Texas and active in the NPI registry since September 2016. The organization lists Jeanne Russell, Owner, as its authorized official.

NPPES Registry Identity

NPI1447708128
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameCLEARLAKE KIDS PSYCHIATRY
Location Address17226 MERCURY DR, SUITE 100Houston, TX 77058-2792
Mailing Address17226 Mercury Dr, Suite 100Houston, TX 77058-2792 · (281) 975-0600
Phone(281) 975-0600
Organization SubpartNo
Authorized OfficialJeanne RussellOwner · (903) 918-3294
Enumeration DateSeptember 12, 2016
Last NPPES UpdateSeptember 5, 2017
✔ NPI 1447708128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA00473
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
17226 MERCURY DR, Houston, TX 77058
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DON JAMES JR., D.C., P.A. WHICH OWNS NATURAL CENTERS OF TEXAS
Chiropractor
17226 MERCURY DR, STE. 100
HOUSTON, TX 77058
Harris County (281) 461-3333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clearlake Kids Psychiatry's NPI number?

The NPI number for Clearlake Kids Psychiatry is 1447708128. It was assigned to this organization in the NPPES registry on September 12, 2016.

Where is Clearlake Kids Psychiatry located?

Clearlake Kids Psychiatry is located at 17226 Mercury Dr Suite 100, Houston, TX 77058. The listed phone number is (281) 975-0600.

What is Clearlake Kids Psychiatry's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Clearlake Kids Psychiatry was last updated on September 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.