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JAMES NICHOLAS KUCIEMBA PHD NPI 1760100747


NPI Information

NPI: 1760100747
Provider Name: JAMES NICHOLAS KUCIEMBA, PHD
Classification: Psychologist - 103T00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
620 LONGMIRE RD
CONROE, TX
ZIP 77304
Phone: (936) 443-9629
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James Nicholas Kuciemba, PHD is a psychologist in Conroe, TX. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. James Nicholas Kuciemba, PHD NPI is 1760100747. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

620 LONGMIRE RD
CONROE, TX
ZIP 77304-819
Phone: (936) 443-9629
Fax: (855) 443-9630

The NPI 1760100747 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/16/2022 and was last updated on 11/25/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TF0000XPsychologistFamily39909TEXASNo
2103TM1800XPsychologistIntellectual and Developmental Disabilities39909TEXASNo
3103TP2701XPsychologistGroup Psychotherapy39909TEXASNo
4103T00000XPsychologist39909TEXASYes
5103G00000XClinical Neuropsychologist39909TEXASNo
6103TA0400XPsychologistAddiction (Substance Use Disorder)39909TEXASNo
7103TA0700XPsychologistAdult Development & Aging39909TEXASNo
8103TB0200XPsychologistCognitive & Behavioral39909TEXASNo
9103TC0700XPsychologistClinical39909TEXASNo
10103TC1900XPsychologistCounseling39909TEXASNo
11103TC2200XPsychologistClinical Child & Adolescent39909TEXASNo
12103TE1100XPsychologistExercise & Sports39909TEXASNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13770653-01MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.