Modern Therapy, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

36766 Issued in TX

Legal business name

MODERN THERAPY, PLLC

Practice address

900 Lovett Blvd
Houston, TX 77006-3908

Phone

(281) 783-9297

NPI assigned

Mar 4, 2015

Organization subpart

No

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

Authorized official

Name

Beatriz Craven

Title

Owner

Phone

(281) 783-9297

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1215329941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30244",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772490244",
            "telephone_number": "281-783-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 LOVETT BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770063908",
            "telephone_number": "281-783-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-04",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "CRAVEN",
        "authorized_official_first_name": "BEATRIZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-783-9297"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "36766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Leah Modeste
• Christina Mathew Modi, NNP

• Psychologist in Houston, TX
• Providers in Houston, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.