Active NPI
University of Texas Health Science Center at Houston
- Psychiatry Physician
- Houston, TX
National Provider Identifier
1073597548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON
- Doing business as
- Harris County Psychiatry Center
- Practice address
- 2800 S Macgregor Way
Houston, TX 77021-1032 - Phone
- (713) 741-5000
- Fax
- (713) 741-5049
- NPI assigned
- Nov 30, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lois J. Moore
- Title
- Chief Administrator
- Phone
- (713) 741-5000
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | |||
| Internal Medicine Physician | 207R00000X | |||
| Psychiatry Physician | 2084P0800X | Primary | ||
| Addiction Psychiatry Physician | 2084P0802X | |||
| Nurse Practitioner | 363L00000X | |||
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
2800 S Macgregor Way
Houston, TX 77021-1032
Mailing address
2800 S Macgregor Way
Houston, TX 77021-1032
Phone (713) 741-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0936452-01 | Medicaid | TX |
Other names 1
- Harris County Psychiatry Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031220000059 | TX | Part B Supplier - Clinic/Group Practice | 8224936836 |
Receives reassigned benefits from 74 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Houston, TX |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Clinical Pathology/Laboratory Medicine Physician
- Houston, TX
- NPI 1831142751
O20031220000059
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218585600000",
"number": "1073597548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 S MACGREGOR WAY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770211032",
"telephone_number": "713-741-5000",
"fax_number": "713-741-5049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 S MACGREGOR WAY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770211032",
"telephone_number": "713-741-5000",
"fax_number": "713-741-5049"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-30",
"last_updated": "2008-08-13",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "LOIS",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "CHIEF ADMINISTRATOR",
"authorized_official_telephone_number": "713-741-5000"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0936452-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Harris County Psychiatry Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Houston, TX
- University of Houston System
- University of Houston, Clear Lake
- University of Kentucky College of Medicine
- University of Texas
- University of Texas Health Science
- University of Texas Health Science Center at Houston
- University of Texas Health Science Center at Houston
- University of Texas Health Science Center at Houston
- University of Texas Health Science Center at Houston
- University of Texas Health Science Center at Houston
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.