Active NPI
Tana Sue Slay, PH.D.
- Clinical Psychologist
- Houston, TX
National Provider Identifier
1083857932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 22603
- Practice address
- 4314 Yoakum Blvd
Houston, TX 77006-5818 - Phone
- (713) 850-0049
- Fax
- (713) 627-7302
- NPI assigned
- Apr 8, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 22603 | TX | Primary |
| Forensic Psychologist | 103TF0200X | 22603 | TX | |
| Health Service Psychologist | 103TH0100X | 22306 | TX |
Addresses
Primary practice location
4314 Yoakum Blvd
Houston, TX 77006-5818
Mailing address
4314 Yoakum Blvd
Houston, TX 77006-5818
Phone (713) 850-0049
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22603 | TX | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322611200000",
"number": "1083857932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4314 YOAKUM BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770065818",
"telephone_number": "713-850-0049",
"fax_number": "713-627-7302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4314 YOAKUM BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770065818",
"telephone_number": "713-850-0049",
"fax_number": "713-627-7302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLAY",
"first_name": "TANA",
"middle_name": "SUE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-08",
"last_updated": "2011-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "22603",
"primary": true
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "TX",
"license": "22603",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "TX",
"license": "22306",
"primary": false
}
],
"identifiers": [],
"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 Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.