Organization Active NPI

Headachemd Houston PLLC

  • Neurology Physician
  • Houston, TX
National Provider Identifier
1114570199
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
HEADACHEMD HOUSTON PLLC
Practice address
2410 Ella Blvd Ste C
Houston, TX 77008-2721
Phone
(713) 426-3337
Fax
(713) 861-4093
NPI assigned
Jul 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
Dr. Pamela Y Blake, MDNPI 1548268691
Title
MD (Owner)
Phone
(713) 426-3337

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

2410 Ella Blvd Ste C
Houston, TX 77008-2721

Mailing address

2410 Ella Blvd Ste C
Houston, TX 77008-2721
Phone (713) 426-3337

Other names 2

  • Headache Center of River Oaks Doing business as
  • Neurology Practice Group PLLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200127000106 TX Part B Supplier - Clinic/Group Practice 5092140707 Receives reassigned benefits from 4 practitioners
Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2218629Headachemd Houston2410 Ella Blvd Ste C, Houston, TX 77008Certificate of waiverMar 29, 2027

National Provider Directory

National Provider Directory

Locations

2410 Ella Blvd
Ste C
Houston, TX 77008
Phone (713) 426-3337

2711 Ferndale St
Houston, TX 77098
Phone (713) 426-3337

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1114570199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 ELLA BLVD STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770082721",
            "telephone_number": "713-426-3337",
            "fax_number": "713-861-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 ELLA BLVD STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770082721",
            "telephone_number": "713-426-3337",
            "fax_number": "713-861-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADACHEMD HOUSTON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-19",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "MD (OWNER)",
        "authorized_official_telephone_number": "713-426-3337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Headache Center of River Oaks",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Neurology Practice Group PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.