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1124373188 NPI number — JACQUELYN MONIQUE STRAIT PH.D.

NPI Number: 1124373188
Health Care Provider/Practitioner: JACQUELYN MONIQUE STRAIT PH.D.

Information about “1124373188” NPI (JACQUELYN MONIQUE STRAIT PH.D.) exists in 1124373188 in HTML format HTML  |  1124373188 in plain Text format TXT  |  1124373188 in PDF (Portable Document Format) PDF  |  1124373188 in an XML format XML  formats.

NPI Number : 1124373188 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1124373188",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STRAIT",
    "FirstName": "JACQUELYN",
    "MiddleName": "MONIQUE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PH.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1506 E WINDING WAY DR STE 606",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FRIENDSWOOD",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77546-5398",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "832-481-6157",
    "MailingAddressFaxNumber": "281-754-4985",
    "FirstLinePracticeLocationAddress": "1506 E WINDING WAY DR STE 606",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FRIENDSWOOD",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77546-5398",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "281-816-6460",
    "PracticeLocationAddressFaxNumber": "281-754-4985",
    "EnumerationDate": "07/16/2012",
    "LastUpdateDate": "03/05/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "103T00000X",
          "TaxonomyName": "Psychologist",
          "LicenseNumber": "PSY-2024-0057",
          "LicenseNumberStateCode": "NM",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103TP0016X",
          "TaxonomyName": "Prescribing (Medical) Psychologist",
          "LicenseNumber": "PSY-2026-0015",
          "LicenseNumberStateCode": "NM",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103T00000X",
          "TaxonomyName": "Psychologist",
          "LicenseNumber": "1776",
          "LicenseNumberStateCode": "LA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103T00000X",
          "TaxonomyName": "Psychologist",
          "LicenseNumber": "36133",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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