Active NPI
Dominic Maliakkal Joseph, MDPA
- Psychiatry Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- J1278
- Practice address
- 9401 Southwest Fwy
Houston, TX 77074-1407 - Phone
- (713) 970-3354
- NPI assigned
- Jun 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | J1278 | TX | Primary |
Addresses
Primary practice location
9401 Southwest Fwy
Houston, TX 77074-1407
Mailing address
2026 Valleria CT
Sugar Land, TX 77479-5568
Phone (281) 265-8056
Other practice location 1
1331 S Grand Pkwy
320
Katy, TX 77494-8288
Phone (281) 540-9473
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131226606 | Medicaid | TX | |
| 131226605 | Medicaid | TX | |
| 260044914 | Other | TX | RAIL ROAD |
| 131226604 | Medicaid | TX | |
| 260044915 | Other | TX | RAIL ROAD |
| 89406S | Other | TX | BLUE CROSS BLUE SHIELD |
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1983
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1502 Taub Loop
Houston, TX 77030-1608
Phone (713) 970-7000
9401 Southwest Fwy
Houston, TX 77074-1407
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.49 of 100
- Quality
- 78.41
- Improvement activities
- 40
- Cost
- 77.88
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J1278 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Harris Center for Mental Health and Idd | Current | Accepting new patients | |
| Dominic M. Joseph Mdpa | Psychiatry | Past | Accepting new patients |
| The Harris Center for Mental Health and Idd | Past | Accepting new patients |
Locations
9401 Southwest Fwy
Houston, TX 77074
Phone (713) 970-3344
7011 Southwest Fwy
Houston, TX 77074
Phone (713) 970-3454
3737 Dacoma St
Houston, TX 77092
Phone (713) 970-8400
1502 Taub Loop
Houston, TX 77030
Phone (713) 873-4900
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.
-
- Community/Behavioral Health Agency
- Houston, TX
- NPI 1346293156
-
- Psychiatry Physician
- Katy, TX
- NPI 1851311062
-
- Community/Retail Pharmacy
- Houston, TX
- NPI 1144235748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603065600000",
"number": "1073559159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2026 VALLERIA CT",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774795568",
"telephone_number": "281-265-8056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9401 SOUTHWEST FWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770741407",
"telephone_number": "713-970-3354"
}
],
"practiceLocations": [
{
"address_1": "1331 S Grand Pkwy",
"address_2": "320",
"address_purpose": "LOCATION",
"city": "Katy",
"state": "TX",
"postal_code": "774948288",
"country_code": "US",
"telephone_number": "281-540-9473",
"fax_number": "281-265-2761",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOSEPH",
"first_name": "DOMINIC",
"middle_name": "MALIAKKAL",
"name_prefix": "Dr.",
"credential": "MDPA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "J1278",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "131226606",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "131226605",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD",
"identifier": "260044914",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "131226604",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD",
"identifier": "260044915",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "89406S",
"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 Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.