DR. JONATHAN RAY SQUYRES (PHD) – Psychologist, NPI 1285629055

DR. JONATHAN RAY SQUYRES (PHD) is a healthcare provider. based in Lufkin, Texas. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 18907 (TX). The NPI Number for DR. JONATHAN RAY SQUYRES (PHD) is 1285629055

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. JONATHAN RAY SQUYRES (PHD)
NPI
1285629055
Phone
(936) 824-5011
Address
130 MICHAELS LOOP
Enumeration Date
16 September 2005
Last Update Date
11 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9039684641
Graduation Year
2017 (9 years ago)
PAC ID
4486995842
Group Practice PAC ID
2668455221
Professional Enrollment ID
I20190411002126
Address ID
TX756832106OR213XXNXXX501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,347 CLINICAL PSYCHOLOGIST in TX

Provider Addresses for DR. JONATHAN RAY SQUYRES (PHD)

  • 130 MICHAELS LOOP

    LUFKIN, TX 759018317

    Phone: (936) 824-5011

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-04-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190411002126IClinical PsychologistTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90832Psychotherapy, 30 minutes2,353196$0
90785Psychiatric services complicated by communication factor1,228204$0
G0323Care management services for behavioral health conditions, at least 20 minutes of clinical psychologist or clinical social worker time, per calendar month. (these services include the following required elements: initial assessment or follow-up monitoring,469216$0
90834Psychotherapy, 45 minutes18342$0
90791Psychiatric diagnostic evaluation161157$0
View full utilization report →

Insurance plans in this area (ZIP 75901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668455221View full group profile
NameSpecialtyState
Mental Health CounselorAR
Mental Health CounselorTX
Mental Health CounselorTX
Clinical Social WorkerTX
Clinical PsychologistTX
Clinical Social WorkerTX
Nurse PractitionerTX
Mental Health CounselorTX
Clinical Social WorkerTX
Mental Health CounselorTX

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Frequently asked questions

What number should I use to identify DR. JONATHAN RAY SQUYRES (PHD) for billing?
Administrative and clinical systems typically use NPI 1285629055 for DR. JONATHAN RAY SQUYRES (PHD).
Is DR. JONATHAN RAY SQUYRES (PHD) currently accepting referrals based on NPI status?
Registry metadata lists DR. JONATHAN RAY SQUYRES (PHD) as active.
Which specialty label fits DR. JONATHAN RAY SQUYRES (PHD)?
NPPES ties DR. JONATHAN RAY SQUYRES (PHD) to Psychologist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. JONATHAN RAY SQUYRES (PHD)?
DR. JONATHAN RAY SQUYRES (PHD) shows a connection to Lufkin, Texas in registry-derived data.
Who maintains DR. JONATHAN RAY SQUYRES (PHD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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