NPIMap

Organization Active NPI

Mind & Brain, PC

Doing business as Houston Mind and Brain

  • Psychiatry Physician
  • Houston, TX
National Provider Identifier
1073163093
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MIND & BRAIN, PC
Doing business as
Houston Mind and Brain
Practice address
9432 Katy Fwy Ste 460
Houston, TX 77055-6349
Phone
(832) 699-7922
Fax
(833) 377-0446
NPI assigned
Sep 12, 2019
Last updated
May 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Authorized official

Name
Cristin Rodriguez
Title
Manager
Phone
(832) 699-7922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

9432 Katy Fwy Ste 460
Houston, TX 77055-6349

Mailing address

9432 Katy Fwy Ste 460
Houston, TX 77055-6349
Phone (832) 699-7922

Other names 1

  • Houston Mind and Brain Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200329000559 TX Part B Supplier - Clinic/Group Practice 6507295441 Receives reassigned benefits from 6 practitioners
Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2262380Mind and Brain PC9432 Katy Freeway Suite #460, Houston, TX 77055Certificate of waiverJun 12, 2028

National Provider Directory

National Provider Directory

Locations

9432 Katy Fwy
Ste 460
Houston, TX 77055
Phone (832) 699-7922

5777 Sienna Pkwy
Missouri City, TX 77459

16400 Kensington Dr
Sugar Land, TX 77479
Phone (832) 876-3232

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1073163093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9432 KATY FWY STE 460",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770556349",
            "telephone_number": "832-699-7922",
            "fax_number": "832-780-5341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9432 KATY FWY STE 460",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770556349",
            "telephone_number": "832-699-7922",
            "fax_number": "833-377-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND & BRAIN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-12",
        "last_updated": "2022-05-16",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "CRISTIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-699-7922"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Houston Mind and Brain",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.