Provider Demographics
NPI:1255374195
Name:ADAMS, JONI (PSYD)
Entity type:Individual
Prefix:
First Name:JONI
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:JOHNNIE
Other - Middle Name:
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:9920 CYPRESSWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-3400
Mailing Address - Country:US
Mailing Address - Phone:281-955-5585
Mailing Address - Fax:
Practice Address - Street 1:1956 AUGUSTA DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-3742
Practice Address - Country:US
Practice Address - Phone:713-614-5141
Practice Address - Fax:832-548-1981
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32475103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8D9982OtherBCBS
TX175635503Medicaid
TX175635504Medicaid
TX8D9982Medicare ID - Type Unspecified
TX175635503Medicaid
TX8G1584Medicare ID - Type Unspecified