Active NPI
Charles Patrick Brady, PH.D.
- School Psychologist
- Houston, TX
National Provider Identifier
1215034632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 30322
- Practice address
- 2211 Norfolk St
Suite 500
Houston, TX 77098-4048 - Phone
- (713) 526-6085
- Fax
- (713) 522-7315
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 21380 | TX | |
| School Psychologist | 103TS0200X | 30322 | TX | Primary |
Addresses
Primary practice location
2211 Norfolk St
Suite 500
Houston, TX 77098-4048
Mailing address
3767 Durness Way
Houston, TX 77025-2401
Phone (713) 664-3791
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1975
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2211 Norfolk St
Houston, TX 77098-4044
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21380 | TX | MD | Clinical Psychologist |
| 30322 | TX | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1215034632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3767 DURNESS WAY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770252401",
"telephone_number": "713-664-3791",
"fax_number": "713-664-0728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 NORFOLK ST",
"address_2": "SUITE 500",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770984048",
"telephone_number": "713-526-6085",
"fax_number": "713-522-7315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADY",
"first_name": "CHARLES",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "21380",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "TX",
"license": "30322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.