Provider Demographics
NPI:1316091945
Name:POYSKY, JAMES TIMOTHY (PHD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:TIMOTHY
Last Name:POYSKY
Suffix:
Gender:
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1113 AVENUE B
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-2455
Mailing Address - Country:US
Mailing Address - Phone:281-829-1599
Mailing Address - Fax:713-264-8607
Practice Address - Street 1:1113 AVENUE B
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-2455
Practice Address - Country:US
Practice Address - Phone:281-829-1599
Practice Address - Fax:713-264-8607
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2025-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32839103T00000X, 103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1788739-01Medicaid