Active NPI
Gregory Haden Andrews, PH.D.
- Psychologist
- Brownwood, TX
National Provider Identifier
1003067158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3-1090
- Practice address
- 800 FM 3254
Brownwood, TX 76801 - Phone
- (325) 641-6489
- NPI assigned
- Oct 7, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3-1090 | TX | Primary |
| Psychologist | 103T00000X | 22413 | CA | |
| Clinical Psychologist | 103TC0700X | 1107 | LA |
Addresses
Primary practice location
800 FM 3254
Brownwood, TX 76801
Mailing address
PO Box 1267
Brownwood, TX 76804-1267
Phone (325) 641-6489
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3-1090 | TX | MD | Psychologist |
| 1107 | LA | MD | Clinical Psychologist |
| 22413 | CA | MD | Dentist |
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/spechs-dc855768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249862400000",
"number": "1003067158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1267",
"city": "BROWNWOOD",
"state": "TX",
"postal_code": "768041267",
"telephone_number": "325-641-6489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 FM 3254",
"city": "BROWNWOOD",
"state": "TX",
"postal_code": "76801",
"telephone_number": "325-641-6489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "GREGORY",
"middle_name": "HADEN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-07",
"last_updated": "2009-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "3-1090",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "22413",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "LA",
"license": "1107",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brownwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.