NPIMap

Organization Active NPI

DSG Clinical Services PLLC

  • Counseling Psychologist
  • Houston, TX
National Provider Identifier
1063716785
Registry record updated Apr 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
31528 Issued in TX
Legal business name
DSG CLINICAL SERVICES PLLC
Practice address
1712 Fairview St
Houston, TX 77006-1967
Phone
(713) 899-3769
NPI assigned
Jan 10, 2011
Last updated
Apr 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2011

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

Authorized official

Name
Dr. David Steven Genac, PH.D.
Title
Licensed Psychologist/Owner
Phone
(713) 899-3769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 31528 TX Primary

Addresses

Primary practice location

1712 Fairview St
Houston, TX 77006-1967

Mailing address

1712 Fairview St
Houston, TX 77006-1967
Phone (713) 899-3769

Other identifiers 2

IdentifierTypeStateIssuer
211680801MedicaidTX
211680802MedicaidTX

National Provider Directory

National Provider Directory

Locations

1712 Fairview Ave
Houston, TX 77006
Phone (281) 620-1079

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303948800000",
    "number": "1063716785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 FAIRVIEW ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770061967",
            "telephone_number": "713-899-3769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 FAIRVIEW ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770061967",
            "telephone_number": "713-899-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DSG CLINICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2011-04-28",
        "status": "A",
        "authorized_official_last_name": "GENAC",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "713-899-3769",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "31528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211680801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211680802",
            "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 Apr 28, 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.