Individual provider Active NPI

Deborah M Michel, PHD

  • Clinical Psychologist
  • The Woodlands, TX
National Provider Identifier
1104091271
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
33536 Issued in TX
Practice address
4840 W Panther Creek Dr
Suite 212
The Woodlands, TX 77381-3527
Phone
(281) 465-9229
Fax
(281) 465-9235
NPI assigned
Apr 29, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 33536 TX Primary

Addresses

Primary practice location

4840 W Panther Creek Dr
Suite 212
The Woodlands, TX 77381-3527

Mailing address

4840 W Panther Creek Dr
Suite 212
The Woodlands, TX 77381-3527
Phone (281) 465-9229

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
33536TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Nutrition Consultants Past Accepting new patients
The Woodlands Eating Disorders Center Clinical Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1104091271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4840 W PANTHER CREEK DR",
            "address_2": "SUITE 212",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773813527",
            "telephone_number": "281-465-9229",
            "fax_number": "281-465-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 W PANTHER CREEK DR",
            "address_2": "SUITE 212",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773813527",
            "telephone_number": "281-465-9229",
            "fax_number": "281-465-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHEL",
        "first_name": "DEBORAH",
        "middle_name": "M",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "33536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.