Organization Active NPI

Cyfair Psychological Associates, PLLC

  • Clinical Psychologist
  • Houston, TX
National Provider Identifier
1053697755
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
33770 Issued in TX
Legal business name
CYFAIR PSYCHOLOGICAL ASSOCIATES, PLLC
Practice address
11811 FM 1960 Rd W
Suite 130
Houston, TX 77065-3827
Phone
(281) 943-9250
Fax
(281) 894-4500
NPI assigned
Oct 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Authorized official

Name
Dr. Teresa Leah Tarver, PSYD
Title
Dr.
Phone
(281) 943-9250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 33770 TX Primary

Addresses

Primary practice location

11811 FM 1960 Rd W
Suite 130
Houston, TX 77065-3827

Mailing address

15201 Mason Rd
Suite 1000, PMB 133
Cypress, TX 77433-5954
Phone (281) 943-9250

Other identifiers 1

IdentifierTypeStateIssuer
1174768295OtherTXNPI NPPES

National Provider Directory

National Provider Directory

Locations

15201 Mason Rd
Cypress, TX 77433

11250 West Rd
Ste I
Houston, TX 77065
Phone (281) 890-7776

11811 FM 1960 Rd W
Ste 130
Houston, TX 77065
Phone (281) 894-4500

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1053697755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15201 MASON RD",
            "address_2": "SUITE 1000, PMB 133",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335954",
            "telephone_number": "281-943-9250",
            "fax_number": "281-894-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11811 FM 1960 RD W",
            "address_2": "SUITE 130",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653827",
            "telephone_number": "281-943-9250",
            "fax_number": "281-894-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYFAIR PSYCHOLOGICAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "TARVER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "LEAH",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "281-943-9250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "33770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NPPES",
            "identifier": "1174768295",
            "state": "TX"
        }
    ],
    "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 Nov 3, 2011; 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.