Individual provider Active NPI

Carole G. Pentony, PH.D.

  • Clinical Psychologist
  • Houston, TX
National Provider Identifier
1144375569
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2-1187 Issued in TX
Practice address
8303 Southwest Fwy
Suite 216
Houston, TX 77074-1600
Phone
(713) 271-4161
Fax
(713) 771-3112
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2-1187 TX Primary

Addresses

Primary practice location

8303 Southwest Fwy
Suite 216
Houston, TX 77074-1600

Mailing address

8303 Southwest Fwy
Suite 216
Houston, TX 77074-1600
Phone (713) 271-4161

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
2-1187TXMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144375569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8303 SOUTHWEST FWY",
            "address_2": "SUITE 216",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741600",
            "telephone_number": "713-271-4161",
            "fax_number": "713-771-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8303 SOUTHWEST FWY",
            "address_2": "SUITE 216",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741600",
            "telephone_number": "713-271-4161",
            "fax_number": "713-771-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENTONY",
        "first_name": "CAROLE",
        "middle_name": "G.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "2-1187",
            "primary": true
        }
    ],
    "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 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.

Verify at the official NPI Registry.