SP Psychiatric Consulting PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

N2247 Issued in TX

Legal business name

SP PSYCHIATRIC CONSULTING PLLC

Practice address

4888 Loop Central Dr
Suite 510
Houston, TX 77081-2227

Phone

(713) 346-1551

Fax

(713) 346-1557

NPI assigned

Apr 17, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Stacey Raab Pisklak, M.D.

Title

Managing Member

Phone

(832) 654-9725

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1235526195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4888 LOOP CENTRAL DR",
            "address_2": "SUITE 510",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770812227",
            "telephone_number": "713-346-1551",
            "fax_number": "713-346-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4888 LOOP CENTRAL DR",
            "address_2": "SUITE 510",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770812227",
            "telephone_number": "713-346-1551",
            "fax_number": "713-346-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SP PSYCHIATRIC CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "PISKLAK",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "RAAB",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "832-654-9725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "N2247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Houston, TX
• Providers in Houston, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.