Individual provider Active NPI

Michael Leon Markowitz, PSY.D.

  • Clinical Psychologist
  • Houston, TX
National Provider Identifier
1184718637
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
25057 Issued in TX
Practice address
11721 Fuqua St
Houston, TX 77034-4541
Phone
(281) 217-7761
Fax
(281) 412-0636
NPI assigned
Oct 2, 2006
Last updated
Apr 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 25057 TX Primary

Addresses

Primary practice location

11721 Fuqua St
Houston, TX 77034-4541

Mailing address

5509 Cunningham Dr
Pearland, TX 77581-3720
Phone (281) 217-7761

Other identifiers 1

IdentifierTypeStateIssuer
1159683-02MedicaidTX

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

State licenses

LicenseStateTypeSpecialty
25057TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398643200000",
    "number": "1184718637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5509 CUNNINGHAM DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775813720",
            "telephone_number": "281-217-7761",
            "fax_number": "281-412-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11721 FUQUA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770344541",
            "telephone_number": "281-217-7761",
            "fax_number": "281-412-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKOWITZ",
        "first_name": "MICHAEL",
        "middle_name": "LEON",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2014-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "25057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1159683-02",
            "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 Apr 28, 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.