Individual provider Active NPI

Venette Cochiolo Westhoven, PH.D.

  • Psychologist
  • Friendswood, TX
National Provider Identifier
1104995547
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
33100 Issued in TX
Practice address
150 W Shadowbend Ave
Suite 100
Friendswood, TX 77546-3968
Phone
(713) 647-1572
Fax
(866) 462-7454
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 33100 TX Primary
Psychologist 103T00000X 0810003393 VA

Addresses

Primary practice location

150 W Shadowbend Ave
Suite 100
Friendswood, TX 77546-3968

Mailing address

150 W Shadowbend Ave
Suite 100
Friendswood, TX 77546-3968
Phone (713) 647-1572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130404000382 TX Practitioner - Clinical Psychologist 9931201977 Reassigns benefits to 1 organization
I20241209001858 AR Practitioner - Clinical Psychologist 9931201977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psy-Med, Inc.Group PAC ID 5092863662, 12 clinicians

Practice addresses (Care Compare)

2713 S 74TH St
Suite 401
Fort Smith, AR 72903-5173
Phone (214) 348-5557

8140 Walnut Hill LN
308 Dallas Psymed
Dallas, TX 75231-4461
Phone (214) 348-5557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
31100TXMDClinical Neuropsychologist
0810003393VAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psy-Med, Inc. CurrentSince Jan 12, 2013 Accepting new patients

Locations

2713 S 74th St
Ste 401
Fort Smith, AR 72903
Phone (479) 452-7324

135 S Prospect St
Ypsilanti, MI 48198
Phone (734) 547-1060

8140 Walnut Hill Ln
Ste 308
Dallas, TX 75231
Phone (214) 348-5557

7505 Fannin St
Ste 310
Houston, TX 77054
Phone (214) 348-5557

Networks

  • LA PPO C-SNP

Organizations & group practices 1

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1104995547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W SHADOWBEND AVE",
            "address_2": "SUITE 100",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463968",
            "telephone_number": "713-647-1572",
            "fax_number": "866-462-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W SHADOWBEND AVE",
            "address_2": "SUITE 100",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463968",
            "telephone_number": "713-647-1572",
            "fax_number": "866-462-7454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTHOVEN",
        "first_name": "VENETTE",
        "middle_name": "COCHIOLO",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "33100",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810003393",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

Verify at the official NPI Registry.