Individual provider Active NPI

Andrea Claire Baudoin, L.P.A.

  • Intellectual & Developmental Disabilities Psychologist
  • Katy, TX
National Provider Identifier
1043657356
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
License
34826 Issued in TX
Practice address
24811 Westheimer Pkwy
Katy, TX 77494-7319
Phone
(281) 391-6401
NPI assigned
May 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities Psychologist 103TM1800X 34826 TX Primary

Addresses

Primary practice location

24811 Westheimer Pkwy
Katy, TX 77494-7319

Mailing address

24811 Westheimer Pkwy
Katy, TX 77494-7319
Phone (281) 391-6401

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

State licenses

LicenseStateTypeSpecialty
34826TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Katy Learning Center Past Accepting new patients
Katy ABA Center of Texas, L.L.C. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1043657356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24811 WESTHEIMER PKWY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947319",
            "telephone_number": "281-391-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24811 WESTHEIMER PKWY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947319",
            "telephone_number": "281-391-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUDOIN",
        "first_name": "ANDREA",
        "middle_name": "CLAIRE",
        "name_prefix": "Ms.",
        "credential": "L.P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "TX",
            "license": "34826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.