Active NPI
Alice Ann Abbott, PHD
- Clinical Psychologist
- Houston, TX
National Provider Identifier
1114128394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2-2501
- Practice address
- 12012 Wickchester LN
Suite550
Houston, TX 77079-1229 - Phone
- (832) 448-2800
- Fax
- (832) 448-2867
- NPI assigned
- May 29, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2-2501 | TX | Primary |
Addresses
Primary practice location
12012 Wickchester LN
Suite550
Houston, TX 77079-1229
Mailing address
12012 Wickchester LN
Suite550
Houston, TX 77079-1229
Phone (832) 448-2800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74AE | Other | TX | RAILROAD |
| 74AE | Medicaid | TX | |
| 74AE | Other | TX | BCBS |
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 |
|---|---|---|---|
| 2-2501 | TX | MD | Clinical Psychologist |
| 22501 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Parenting Center | Past | Accepting new patients |
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.
-
- Professional Counselor
- Fort Worth, TX
- NPI 1396965042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114128394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12012 WICKCHESTER LN",
"address_2": "SUITE550",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770791229",
"telephone_number": "832-448-2800",
"fax_number": "832-448-2867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12012 WICKCHESTER LN",
"address_2": "SUITE550",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770791229",
"telephone_number": "832-448-2800",
"fax_number": "832-448-2867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABBOTT",
"first_name": "ALICE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "2-2501",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "74AE",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74AE",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "74AE",
"state": "TX"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.