Active NPI
Holly Carlson - Zhao, PHD
- Clinical Neuropsychologist
- Houston, TX
National Provider Identifier
1154876506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 37004
- Practice address
- 5858 Westheimer Rd Ste 200
Houston, TX 77057-5643 - Phone
- (713) 487-9310
- NPI assigned
- Aug 15, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 Neuropsychologist | 103G00000X | 37004 | TX | Primary |
Addresses
Primary practice location
5858 Westheimer Rd Ste 200
Houston, TX 77057-5643
Mailing address
5858 Westheimer Rd Ste 200
Houston, TX 77057-5643
Phone (713) 487-9310
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 |
|---|---|---|---|
| 37004 | TX | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590969600000",
"number": "1154876506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5858 WESTHEIMER RD STE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770575643",
"telephone_number": "713-487-9310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5858 WESTHEIMER RD STE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770575643",
"telephone_number": "713-487-9310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON - ZHAO",
"first_name": "HOLLY",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-15",
"last_updated": "2020-06-01",
"certification_date": "2020-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "TX",
"license": "37004",
"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 Jun 1, 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.