Gabriel Tan, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

24013 Issued in TX

Practice address

9525 Katy Freeway, Ste 200
Houston, TX 77024

Phone

(346) 702-8936

Fax

(713) 794-7674

NPI assigned

Aug 19, 2006

Last updated

Jun 29, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renu Mental Wellness GroupGroup PAC ID 6103292586, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Renu Mental Wellness Group

  • Clinical Neuropsychologist
  • Houston, TX
  • NPI 1699351205
  Medicare reassignment Care Compare group
• Houston Family Psychology, PLLC

  • Clinical Psychologist
  • Houston, TX
  • NPI 1811120009
  NPD (past)
• Professional Admin Services

  • Psychologist
  • Houston, TX
  • NPI 1366537300
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1073627477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 MISTY LAKE COURT",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774985613",
            "telephone_number": "346-702-8936",
            "fax_number": "713-794-7674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9525 KATY FREEWAY, STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77024",
            "telephone_number": "346-702-8936",
            "fax_number": "713-794-7674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "24013",
            "primary": true
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "TX",
            "license": "24013",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033150602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bheny Rose Gatdula Tan
• Daniel T.L. Tan, M.D.
• Dongfeng Tan, M.D.
• Faye Tan, MD
• Filemon K Tan, M.D.
• Gail Christine Tan, MD
• Grace Bee-Tin Tan, MD
• Harold Nathan Tan, MD
• Jenna Tan
• Jens A Tan, MD

• Clinical Psychologist in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.

Verify at the official NPI Registry.