NPI age
9 years
Enumerated 2016-09-12
● Active Type 2 · Organization
Clearlake Kids Psychiatry
Clearlake Kids Psychiatry is 1 of 11022 physician assistant organizations in Texas.
Primary specialty
Physician Assistant
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Russell
Owner
Last NPPES update
2017-09-05
Source: monthly bulk 2026-05
How this organization compares
Across 11022 active physician assistant providers in Texas.
NPI age
9 years
≈ at median (10 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2016 → 2026
2016-09Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
17226 Mercury Dr, Suite 100
Houston, TX 770582792
Mailing address
17226 Mercury Dr, Suite 100
Houston, TX 770582792
Authorized official
Jeanne Russell, PA-C
Owner
📞 9039183294
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Practice context
Single-site organization. Only one practice location on file.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.