Individual provider Active NPI

Debra Osterman, M.D.

  • Psychiatry Physician
  • Houston, TX
National Provider Identifier
1063498038
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
H6487 Issued in TX
Practice address
3737 Dacoma St
Room 315
Houston, TX 77092-8905
Phone
(713) 970-8556
Fax
(713) 970-8562
NPI assigned
Dec 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X H6487 TX
Psychiatry Physician 2084P0800X H6487 TX Primary
Addiction Psychiatry Physician 2084P0802X H6487 TX

Addresses

Primary practice location

3737 Dacoma St
Room 315
Houston, TX 77092-8905

Mailing address

3737 Dacoma St
Room 315
Houston, TX 77092-8905
Phone (713) 970-8556

Other identifiers 2

IdentifierTypeStateIssuer
098864401MedicaidTX
098864403MedicaidTX

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

LicenseStateTypeSpecialty
H6487TXMDAddiction Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1063498038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 DACOMA ST",
            "address_2": "ROOM 315",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770928905",
            "telephone_number": "713-970-8556",
            "fax_number": "713-970-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 DACOMA ST",
            "address_2": "ROOM 315",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770928905",
            "telephone_number": "713-970-8556",
            "fax_number": "713-970-8562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTERMAN",
        "first_name": "DEBRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "TX",
            "license": "H6487",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "H6487",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "TX",
            "license": "H6487",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098864401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098864403",
            "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 Aug 9, 2012; 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.