Organization Active NPI

Family Neurology and Neurodevelopmental Center PLLC

  • Neurology with Special Qualifications in Child Neurology Physician
  • Pasadena, TX
National Provider Identifier
1215574256
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
Legal business name
FAMILY NEUROLOGY AND NEURODEVELOPMENTAL CENTER PLLC
Practice address
3301 Plainview St Ste 8
Pasadena, TX 77504-1929
Phone
(281) 942-8001
NPI assigned
Dec 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Authorized official

Name
Lisa Wright, MD
Title
Owner
Phone
(281) 942-8001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0402X Primary

Addresses

Primary practice location

3301 Plainview St Ste 8
Pasadena, TX 77504-1929

Mailing address

3618 Emerald Falls Dr
Houston, TX 77059-3738
Phone (281) 942-8001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200205000586 TX Part B Supplier - Clinic/Group Practice 1153757448 Receives reassigned benefits from 2 practitioners
Practice locations: Pasadena, TX

National Provider Directory

National Provider Directory

Locations

161 Montgomery St
Ste D
Madison, MS 39110
Phone (769) 300-5200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25075/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1215574256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 EMERALD FALLS DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770593738",
            "telephone_number": "281-942-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 PLAINVIEW ST STE 8",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041929",
            "telephone_number": "281-942-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY NEUROLOGY AND NEURODEVELOPMENTAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-942-8001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.