Kenneth R Waldman, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

2-1460 TX Issued in TX

Practice address

8303 SW Fwy Ste 330
Houston, TX 77074-1601

Phone

(713) 774-2122

Fax

(713) 774-3223

NPI assigned

Aug 19, 2006

Last updated

Aug 12, 2010By 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

Other names 1

• Dr. Ken R Waldman Other name

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, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Charles F Gray PHD PCGroup PAC ID 3173588258, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Charles F. Gray, PH.D., P.C.

  • Professional Counselor
  • Houston, TX
  • NPI 1720290448

  Counseling

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281571200000",
    "number": "1073627725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 CRYSTAL LAKE CIR E",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775842567",
            "telephone_number": "713-670-6626",
            "fax_number": "713-774-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8303 SW FWY STE 330",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741601",
            "telephone_number": "713-774-2122",
            "fax_number": "713-774-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDMAN",
        "first_name": "KENNETH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2010-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "2-1460 TX",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "331",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER ID",
            "identifier": "742043057",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEN",
            "last_name": "WALDMAN",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stephanie Walden, P.T
• Jeremy Ryan Walder, DO
• Chase Allen Walding, LPC, ASOTP
• Travis Walding, D.D.S
• Karen Leigh Waldman, PH.D.
• Terry Irvin Waldman
• Amy C Waldner, LMSW
• Victoria Elizabeth Waldon-Gordon, LPC
• Ashley Waldon, PA-C
• Sydney Waldon, FNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; 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.