Paul Chii

Individual provider Active NPI Intellectual & Developmental Disabilities Psychologist · Odessa, TX

NPI 1013398262 · NPPES record last updated Jun 13, 2015

Key facts

NPI
1013398262
Entity type
Individual (NPI type 1)
Primary specialty
Intellectual & Developmental Disabilities Psychologist 103TM1800X
Practice address
2508 Redbud Ave
Odessa, TX 79761-1616
Phone
(301) 828-7223
NPI assigned
Jun 13, 2015
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities Psychologist 103TM1800X Yes

Addresses

Primary practice location

2508 Redbud Ave
Odessa, TX 79761-1616

Mailing address

2508 Redbud Ave
Odessa, TX 79761-1616
Phone (301) 828-7223

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 13, 2015.

{
    "created_epoch": "1434153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434153600000",
    "number": "1013398262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 REDBUD AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797611616",
            "telephone_number": "301-828-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 REDBUD AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797611616",
            "telephone_number": "301-828-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHII",
        "first_name": "PAUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-13",
        "last_updated": "2015-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

All providers in Odessa, TX · Intellectual & Developmental Disabilities Psychologist in Texas

Sources for this page

Verify at the official NPI Registry.