Diana Mahannah-John

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

76-1067155 Issued in TX

Practice address

7428 Park Place Blvd
Houston, TX 77087-4442

Phone

(713) 643-5858

Fax

(713) 643-2967

NPI assigned

Oct 2, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Houston Substance Abuse Clinic, Inc.

  • Substance Abuse Rehabilitation Facility
  • Houston, TX
  • NPI 1457796336
  NPD (past)
• Texas American Medical Consultants Inc

  • Methadone Clinic
  • Houston, TX
  • NPI 1427440981
  NPD (past)

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1164825261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7428 PARK PLACE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770874442",
            "telephone_number": "713-643-5858",
            "fax_number": "713-643-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7428 PARK PLACE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770874442",
            "telephone_number": "713-643-5858",
            "fax_number": "713-643-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHANNAH-JOHN",
        "first_name": "DIANA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "TX",
            "license": "76-1067155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Mahan, MS, CCC-SLP
• Mick Mahan, D.C.
• Shannon Williamsom Mahan, CCC-SLP
• Virginia F. Mahan, LCSW
• Archana Murty Mahankali, M.D.
• Ashutosh Mahapatra, MD
• Kiswa Mahar, MS, RD, LD
• Bita Maharlouei
• Prathyusha Mahasamudram
• Qasim Mahboob, M.D

• Methadone Clinic in Houston, TX
• Providers in Houston, TX by specialty
• Methadone Clinic in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.