Individual provider Active NPI

Cynthia W. Santos, M.D.

  • Child & Adolescent Psychiatry Physician
  • Houston, TX
National Provider Identifier
1205818309
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
H2752 Issued in TX
Practice address
1941 East Rd
Houston, TX 77054-6010
Phone
(713) 486-2700
Fax
(713) 486-2721
NPI assigned
Nov 16, 2005
Last updated
Aug 29, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X H2752 TX
Child & Adolescent Psychiatry Physician 2084P0804X H2752 TX Primary

Addresses

Primary practice location

1941 East Rd
Houston, TX 77054-6010

Mailing address

1941 East Rd
Houston, TX 77054-6010
Phone (713) 486-2700

Other identifiers 2

IdentifierTypeStateIssuer
137035509MedicaidTX
137035501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070806000703 TX Practitioner - Psychiatry 5092806026 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H2752TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Psychiatry CurrentSince Mar 1, 2012 Accepting new patients
Ut Physicians CurrentSince Mar 1, 2012 Accepting new patients
The Harris Center for Mental Health and Idd CurrentSince Oct 23, 2015 Accepting new patients
University of Texas Health Science Center at Houston Past Accepting new patients

Locations

1502 Taub Loop
Houston, TX 77030
Phone (713) 873-4900

1615 Hillendahl Blvd
Ste 100
Houston, TX 77055

1941 East Rd
Houston, TX 77054
Phone (713) 486-2500

2800 S Macgregor Way
Houston, TX 77021
Phone (713) 741-5000

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

9401 Southwest Fwy
Houston, TX 77074
Phone (713) 970-3344

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1205818309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 EAST RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770546010",
            "telephone_number": "713-486-2700",
            "fax_number": "713-486-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 EAST RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770546010",
            "telephone_number": "713-486-2700",
            "fax_number": "713-486-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "CYNTHIA",
        "middle_name": "W.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "H2752",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "H2752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137035509",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137035501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.