Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack A Teitsma, PSYD

Individual provider Clinical Psychologist · NPI 1831327196

Jack A Teitsma, PSYD is a Clinical Psychologist in League City, Texas. Licensed in Texas. Registered with an NPI since 2009.

Licensed in
TX
In the registry since
2009
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1616 Ponte Leone Ln
League City, TX 77573-5067
Phone: (630) 386-5106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 34453 (TX)

Record details

NPI number1831327196
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedJune 25, 2009
Last updated in NPPESDecember 11, 2011
Mailing address1616 Ponte Leone Ln, League City, TX 77573-5067

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