Individual provider Active NPI

Van Khue Nguyen, MD

  • Psychiatry Physician
  • Houston, TX
National Provider Identifier
1194214429
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
S4536 Issued in TX
Practice address
1941 East Rd Ste 3236
Houston, TX 77054-6010
Phone
(713) 486-2570
Fax
(713) 486-2565
NPI assigned
May 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X S4536 TX Primary

Addresses

Primary practice location

1941 East Rd Ste 3236
Houston, TX 77054-6010

Mailing address

1941 East Rd Ste 3236
Houston, TX 77054-6010
Phone (713) 486-2570

Other practice location 1

601 N Frio St Bldg 1
San Antonio, TX 78207-3011
Phone (210) 246-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220901001924 TX Practitioner - Psychiatry 0749664258 Reassigns benefits to 6 organizations
I20230908001351 SC Practitioner - Psychiatry 0749664258 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sweetgrass Psychiatry LLCGroup PAC ID 4688932957, 25 clinicians

Practice addresses (Care Compare)

710 Johnnie Dodds Blvd
Suite 200
Mount Pleasant, SC 29464-3045
Phone (843) 800-1303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
S4536TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lubbock Regional MHMR Center Psychiatry CurrentSince Jun 23, 2023 Accepting new patients
Burke Center Psychiatry CurrentSince Sep 1, 2022 Accepting new patients
Collin County Mental Health Mental Retardation Center Psychiatry CurrentSince Aug 22, 2022 Accepting new patients
Bluebonnet Trails Community MHMR Center Psychiatry CurrentSince Sep 19, 2022 Accepting new patients
Bluebonnet Trails Community MHMR Center CurrentSince Sep 19, 2022 Accepting new patients
Texana Center CurrentSince Aug 19, 2022 Accepting new patients
Tri-County Behavioral Healthcare CurrentSince Sep 21, 2022 Accepting new patients
Camino Real Community MHMR Center CurrentSince Aug 24, 2022 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Dec 1, 2024 Accepting new patients
Sweetgrass Psychiatry LLC Psychiatry CurrentSince Aug 1, 2023 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Dec 1, 2024 Accepting new patients

Locations

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

710 Johnnie Dodds Blvd
Ste 200
Mt Pleasant, SC 29464
Phone (843) 800-1303

706 Old Montgomery Rd
Conroe, TX 77301
Phone (936) 538-1102

233 Sgt Ed Holcomb Blvd S
Conroe, TX 77304
Phone (936) 521-6151

1749 E State Highway 97
Jourdanton, TX 78026
Phone (830) 767-2320

1950 Aspen Ave
Lubbock, TX 79404
Phone (806) 740-1400

2001 S Medford Dr
Lufkin, TX 75901
Phone (936) 633-5672

19965 FM 3175
Lytle, TX 78052
Phone (210) 357-0300

1515 Heritage Dr
Ste 105
McKinney, TX 75069
Phone (972) 562-0331

7308 Alma Dr
Plano, TX 75025
Phone (972) 422-5939

4910 Airport Ave
Ste D
Rosenberg, TX 77471
Phone (281) 239-1300

1009 N Georgetown St
Round Rock, TX 78664
Phone (512) 244-8374

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1194214429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 EAST RD STE 3236",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770546010",
            "telephone_number": "713-486-2570",
            "fax_number": "713-486-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 EAST RD STE 3236",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770546010",
            "telephone_number": "713-486-2570",
            "fax_number": "713-486-2565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 N Frio St Bldg 1",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782073011",
            "country_code": "US",
            "telephone_number": "210-246-1300",
            "fax_number": "210-227-5476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VAN",
        "middle_name": "KHUE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "S4536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.