OrganizationActive
Clearlake Kids Psychiatry
NPI 1447708128 · Physician Assistant · Houston, TX
Provider details
- NPI number
- 1447708128
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jeanne Russell, Owner(903) 918-3294
- License
- PA00473 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17226 Mercury Dr
Suite 100
Houston, TX 77058-2792
Phone: (281) 975-0600
Street-level locationGet directions
Mailing address
17226 Mercury Dr
Houston, TX 77058-2792
Registry dates
- Enumerated
- 2016-09-12
- Last updated
- 2017-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.