Healthcare Provider Details

I. General information

NPI: 1790763928
Provider Name (Legal Business Name): JAMES PATRICK MCGOVERN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: JAMES PATRICK RUSNAK-MCGOVERN MD

II. Dates (important events)

Enumeration Date: 01/06/2006
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218 EAST RD
HAMPSTEAD NH
03841-5303
US

IV. Provider business mailing address

2800 S MACGREGOR WAY
HOUSTON TX
77021-1032
US

V. Phone/Fax

Practice location:
  • Phone: 603-329-5311
  • Fax: 603-314-8303
Mailing address:
  • Phone: 713-741-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number34370
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberJ9548
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: