Active NPI
Taylor Hise
- Child & Adolescent Psychiatry Physician
- Houston, TX
National Provider Identifier
1043605306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- R3863
- Practice address
- 12301 Main St
Houston, TX 77035-6207 - Phone
- (713) 275-5424
- NPI assigned
- Apr 3, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | R3863 | TX | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | R3863 | TX | Primary |
Addresses
Primary practice location
12301 Main St
Houston, TX 77035-6207
Mailing address
12301 Main St
Houston, TX 77035-6207
Phone (713) 275-5424
Other practice location 1
1502 Taub Loop
Houston, TX 77030-1608
Phone (713) 970-7000
Other practice location 2
1 Baylor Plaza MS: BCM350
Menninger Dept. of Psychiatry
Houston, TX 77030
Phone (713) 798-4872
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R3863 | TX | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596412800000",
"number": "1043605306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12301 MAIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770356207",
"telephone_number": "713-275-5424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12301 MAIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770356207",
"telephone_number": "713-275-5424"
}
],
"practiceLocations": [
{
"address_1": "1502 Taub Loop",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770301608",
"country_code": "US",
"telephone_number": "713-970-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Baylor Plaza MS: BCM350",
"address_2": "Menninger Dept. of Psychiatry",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "77030",
"country_code": "US",
"telephone_number": "713-798-4872",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HISE",
"first_name": "TAYLOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-03",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "R3863",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "TX",
"license": "R3863",
"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 Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.