Active NPI
Victor a. Oderinde, P.C.
- Psychiatry Physician
- Houston, TX
National Provider Identifier
1154497410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- L1148
- Legal business name
- VICTOR A. ODERINDE, P.C.
- Practice address
- 2411 Fountain View Dr
Suite 217
Houston, TX 77057-4817 - Phone
- (281) 989-6603
- Fax
- (281) 259-6588
- NPI assigned
- Nov 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Victor A Oderinde, M.D.
- Title
- Psychiatrist
- Phone
- (281) 989-6603
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | L1148 | TX | Primary |
Addresses
Primary practice location
2411 Fountain View Dr
Suite 217
Houston, TX 77057-4817
Mailing address
2411 Fountain View Dr
Suite 217
Houston, TX 77057-4817
Phone (281) 989-6603
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
2411 Fountain View Dr
Ste 217
Houston, TX 77057
Phone (713) 660-8877
5851 San Felipe St
Ste 425
Houston, TX 77057
Phone (713) 660-8877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1154497410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2411 FOUNTAIN VIEW DR",
"address_2": "SUITE 217",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770574817",
"telephone_number": "281-989-6603",
"fax_number": "281-259-6588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 FOUNTAIN VIEW DR",
"address_2": "SUITE 217",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770574817",
"telephone_number": "281-989-6603",
"fax_number": "281-259-6588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VICTOR A. ODERINDE, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ODERINDE",
"authorized_official_first_name": "VICTOR",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PSYCHIATRIST",
"authorized_official_telephone_number": "281-989-6603",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "L1148",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.