NPIMap

Organization Active NPI

Starbranch Psychiatry Associates

  • Psychosomatic Medicine Physician
  • Houston, TX
National Provider Identifier
1205053022
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X
License
E3150 Issued in TX
Legal business name
STARBRANCH PSYCHIATRY ASSOCIATES
Practice address
2600 Gessner Dr
Suite 280
Houston, TX 77080-3839
Phone
(713) 490-7017
Fax
(281) 577-1105
NPI assigned
Apr 20, 2007
Last updated
Apr 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Dr. Eileen K Starbranch, M.D.NPI 1982671590
Title
Psychiatrist
Phone
(713) 490-7017

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
Psychosomatic Medicine Physician 2084P0015X E3150 TX Primary

Addresses

Primary practice location

2600 Gessner Dr
Suite 280
Houston, TX 77080-3839

Mailing address

2600 Gessner Dr
Suite 280
Houston, TX 77080-3839
Phone (713) 490-7017

Other identifiers 1

IdentifierTypeStateIssuer
0026BYOtherTXBLUE CROSS

Other names 1

  • eileen k. starbranch, m.d. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090219000169 TX Part B Supplier - Clinic/Group Practice 9931264348 Receives reassigned benefits from 7 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

2600 Gessner Rd
Ste 280
Houston, TX 77080
Phone (713) 468-6538

7707 Fannin St
Ste 110
Houston, TX 77054
Phone (346) 571-1147

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1205053022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 GESSNER DR",
            "address_2": "SUITE 280",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770803839",
            "telephone_number": "713-490-7017",
            "fax_number": "281-577-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 GESSNER DR",
            "address_2": "SUITE 280",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770803839",
            "telephone_number": "713-490-7017",
            "fax_number": "281-577-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARBRANCH PSYCHIATRY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "STARBRANCH",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "713-490-7017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "TX",
            "license": "E3150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0026BY",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "eileen k. starbranch, m.d.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.