Individual provider Active NPI

Victor Tran

  • Clinical Psychologist
  • Pearland, TX
National Provider Identifier
1053976159
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
39741 Issued in TX
Practice address
12234 Shadow Creek Pkwy Ste 104
Pearland, TX 77584-7330
Phone
(713) 429-5325
NPI assigned
May 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 39741 TX Primary

Addresses

Primary practice location

12234 Shadow Creek Pkwy Ste 104
Pearland, TX 77584-7330

Mailing address

12234 Shadow Creek Pkwy Ste 104
Pearland, TX 77584-7330
Phone (713) 429-5325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231007000150 TX Practitioner - Clinical Psychologist 4880049063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Behavioral Health PLLCGroup PAC ID 3971890948, 46 clinicians

Practice addresses (Care Compare)

12234 Shadow Creek Pkwy
Pearland, TX 77584-7330
Phone (713) 429-5325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39741TXMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Behavioral Health PLLC CurrentSince Aug 15, 2023 Accepting new patients
United Psychiatry Institute, LLC CurrentSince Aug 15, 2023 Accepting new patients
Kairos Medical LLC Past Accepting new patients

Locations

104 Whispering Pines Ave
Friendswood, TX 77546
Phone (281) 819-1438

106 Whispering Pines Ave
Ste 103
Friendswood, TX 77546
Phone (281) 868-5440

7505 Main St
Ste 300
Houston, TX 77030
Phone (713) 799-1129

3407 Spencer Hwy
Ste 200
Pasadena, TX 77504
Phone (281) 766-3920

12234 Shadow Creek Pkwy
Bldg 4
Pearland, TX 77584
Phone (281) 668-8822

12234 Shadow Creek Pkwy
Ste 104
Pearland, TX 77584
Phone (281) 315-9508

3531 Town Center Blvd S
Ste 102
Sugar Land, TX 77479
Phone (281) 819-1438

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEBFAD

Organizations & group practices 3

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": "1556841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1053976159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12234 SHADOW CREEK PKWY STE 104",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847330",
            "telephone_number": "713-429-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12234 SHADOW CREEK PKWY STE 104",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847330",
            "telephone_number": "713-429-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "VICTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-03",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "39741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.