Active NPI
Teresa Leah Tarver, PSYD
- Clinical Psychologist
- Houston, TX
National Provider Identifier
1174768295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 33770
- Practice address
- 11811 FM 1960 Rd W
Suite 130
Houston, TX 77065-3827 - Phone
- (281) 943-9250
- Fax
- (281) 894-0101
- NPI assigned
- Dec 3, 2008
- 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 Psychologist | 103TC0700X | 33770 | TX | Primary |
Addresses
Primary practice location
11811 FM 1960 Rd W
Suite 130
Houston, TX 77065-3827
Mailing address
15201 Mason Rd Ste 1000
PMB 133
Cypress, TX 77433-5977
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33770 | Other | TX | PSYD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33770 | TX | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341964800000",
"number": "1174768295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15201 MASON RD STE 1000",
"address_2": "PMB 133",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774335977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11811 FM 1960 RD W",
"address_2": "SUITE 130",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770653827",
"telephone_number": "281-943-9250",
"fax_number": "281-894-0101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARVER",
"first_name": "TERESA",
"middle_name": "LEAH",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-03",
"last_updated": "2012-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "33770",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYD",
"identifier": "33770",
"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 Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.