Individual provider Active NPI

Doreen Kotik-Harper, PHD

  • Clinical Psychologist
  • Sugar Land, TX
National Provider Identifier
1194763599
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
23255 Issued in TX
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

Updated by the provider on May 1, 2008

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 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

IdentifierTypeStateIssuer
114449501MedicaidTX

Other names 1

  • Doreen Kotik-Harper Former name

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

LicenseStateTypeSpecialty
23255TXMDPharmacist

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.

Verify at the official NPI Registry.