Active NPI
Willie Lewis
- Health Service Psychologist
- Katy, TX
National Provider Identifier
1174326847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- Practice address
- 23419 Triumph Dr
Katy, TX 77493-5106 - Phone
- (301) 404-4622
- NPI assigned
- Mar 28, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | Primary |
Addresses
Primary practice location
23419 Triumph Dr
Katy, TX 77493-5106
Mailing address
23419 Triumph Dr
Katy, TX 77493-5106
Phone (301) 404-4622
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743120000000",
"number": "1174326847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23419 TRIUMPH DR",
"city": "KATY",
"state": "TX",
"postal_code": "774935106",
"telephone_number": "301-404-4622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23419 TRIUMPH DR",
"city": "KATY",
"state": "TX",
"postal_code": "774935106",
"telephone_number": "301-404-4622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "WILLIE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-28",
"last_updated": "2025-03-28",
"certification_date": "2025-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.