Organization Active NPI

Cypress Psychological Center

  • Counseling Psychologist
  • Houston, TX
National Provider Identifier
1023308509
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
33697 Issued in TX
Legal business name
CYPRESS PSYCHOLOGICAL CENTER
Practice address
11240 FM 1960 Rd W Ste 403
Houston, TX 77065-3663
Phone
(281) 894-4500
NPI assigned
Apr 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Brad Austin, MA, LCDC
Title
Director
Phone
(832) 721-5926

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 9505 TX
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X 33697 TX Primary

Addresses

Primary practice location

11240 FM 1960 Rd W Ste 403
Houston, TX 77065-3663

Mailing address

18062 FM 529 Rd # 130
Cypress, TX 77433-1168
Phone (281) 894-4500

National Provider Directory

National Provider Directory

Locations

11240 FM 1960 Rd W
Ste 403
Houston, TX 77065
Phone (281) 894-4500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1023308509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18062 FM 529 RD # 130",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774331168",
            "telephone_number": "281-894-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11240 FM 1960 RD W STE 403",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653663",
            "telephone_number": "281-894-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS PSYCHOLOGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-18",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "832-721-5926",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LCDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "9505",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "33697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.