JEANNIE BOATLER PHD
NPI 1902814411
Psychologist - Clinical in Houston, TX

Active since August 03, 2006
12012 WICKCHESTER LN, SUITE 550, HOUSTON, TX 77079(832) 448-2800(832) 448-2801 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeannie Boatler Phd NPPES

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

JEANNIE BOATLER PHD (NPI 1902814411) is an individual clinical provider in Houston, Texas, licensed in Texas (32273) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1902814411
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJEANNIE BOATLERCredential: PHD
Location Address12012 WICKCHESTER LN, SUITE 550Houston, TX 77079-1229
Mailing Address12012 Wickchester Ln, Suite 550Houston, TX 77079-1229 · (832) 448-2800 · Fax (832) 448-2801
Fax(832) 448-2801
Sole ProprietorNo
Enumeration DateAugust 3, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1902814411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in TX · 32273
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
12012 WICKCHESTER LN, Houston, TX 77079

Other Names 1

Former Name (1)Jeannie Gisele Fredon

Other Identifiers 4

Other8C9928TX · Bcbs
Medicare UPINQ18183TX
OtherP00180179TX · Railroad
Medicare ID-Type Unspecified8C9928TX

Other Providers at the Same Location NPPES 20

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

Psychologist (Clinical)
12012 WICKCHESTER LN, SUITE 550
HOUSTON, TX 77079
Psychologist
12012 WICKCHESTER LN, SUITE 550
HOUSTON, TX 77079
Psychologist (Clinical)
12012 WICKCHESTER LN, SUITE550
HOUSTON, TX 77079
Psychologist (Clinical)
12012 WICKCHESTER LN, SUITE 550
HOUSTON, TX 77079
Psychologist (Clinical)
12012 WICKCHESTER LN, SUITE 550
HOUSTON, TX 77079
Psychologist (Clinical)
12012 WICKCHESTER LN, SUITE 550
HOUSTON, TX 77079
Psychologist (Clinical)
12012 WICKCHESTER LN, SUITE 550
HOUSTON, TX 77079
Psychologist (Clinical)
12012 WICKCHESTER LN, SUITE 550
HOUSTON, TX 77079

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 Jeannie Boatler's NPI number?

The NPI number for Jeannie Boatler is 1902814411. It was assigned to this individual provider in the NPPES registry on August 3, 2006. The provider is also known as Jeannie Gisele Fredon.

Where is Jeannie Boatler located?

Jeannie Boatler practices at 12012 Wickchester Ln Suite 550, Houston, TX 77079. The listed phone number is (832) 448-2800.

What is Jeannie Boatler's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jeannie Boatler was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.