Organization Active NPI

The Woodlands Eating Disorders Center

  • Clinical Psychologist
  • The Woodlands, TX
National Provider Identifier
1194075697
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
33536 Issued in TX
Legal business name
THE WOODLANDS EATING DISORDERS CENTER
Practice address
4840 W. Panther Creek Dr.,
Ste. 212
The Woodlands, TX 77381
Phone
(281) 465-9229
Fax
(281) 465-9235
NPI assigned
Sep 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Authorized official

Name
Dr. Deborah M Michel, PH.D.NPI 1104091271
Title
Director
Phone
(281) 465-9229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 33536 TX Primary

Addresses

Primary practice location

4840 W. Panther Creek Dr.,
Ste. 212
The Woodlands, TX 77381

Mailing address

4840 W. Panther Creek Dr.,
Ste. 212
The Woodlands, TX 77381
Phone (281) 465-9229

National Provider Directory

National Provider Directory

Locations

4840 W Panther Creek Dr
Ste 212
The Woodlands, TX 77381
Phone (281) 465-9229

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1194075697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4840 W. PANTHER CREEK DR.,",
            "address_2": "STE. 212",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "77381",
            "telephone_number": "281-465-9229",
            "fax_number": "281-465-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 W. PANTHER CREEK DR.,",
            "address_2": "STE. 212",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "77381",
            "telephone_number": "281-465-9229",
            "fax_number": "281-465-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WOODLANDS EATING DISORDERS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "MICHEL",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "281-465-9229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "33536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.