Active NPI
Doreen Kotik-Harper, PHD
- Clinical Psychologist
- Sugar Land, TX
National Provider Identifier
1194763599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 23255
- Practice address
- 14023 Southwest Fwy
Sugar Land, TX 77478-3550 - Phone
- (281) 325-4267
- Fax
- (281) 325-4262
- NPI assigned
- Jun 4, 2006
- 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 | 23255 | TX | Primary |
Addresses
Primary practice location
14023 Southwest Fwy
Sugar Land, TX 77478-3550
Mailing address
3400 Bissonnet St
Suite 270
Houston, TX 77005-2155
Phone (713) 594-0744
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114449501 | Medicaid | TX |
Other names 1
- Doreen Kotik-Harper
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23255 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209600000000",
"number": "1194763599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 BISSONNET ST",
"address_2": "SUITE 270",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770052155",
"telephone_number": "713-594-0744",
"fax_number": "713-668-6595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14023 SOUTHWEST FWY",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774783550",
"telephone_number": "281-325-4267",
"fax_number": "281-325-4262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTIK-HARPER",
"first_name": "DOREEN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-04",
"last_updated": "2008-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "23255",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114449501",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DOREEN",
"last_name": "KOTIK-HARPER",
"credential": "PHD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.