Individual provider Active NPI

Wendy Morua, PH.D., LP, LSSP

  • Psychologist
  • Friendswood, TX
National Provider Identifier
1235661372
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
37093 Issued in TX
Practice address
1410 E Winding Way Dr
Suite E
Friendswood, TX 77546-4852
Phone
(281) 993-8040
Fax
(281) 816-5526
NPI assigned
Mar 29, 2017
Last updated
Mar 29, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 37093 TX Primary
Counseling Psychologist 103TC1900X 37093 TX
Clinical Child & Adolescent Psychologist 103TC2200X 37093 TX
Family Psychologist 103TF0000X 37093 TX

Addresses

Primary practice location

1410 E Winding Way Dr
Suite E
Friendswood, TX 77546-4852

Mailing address

2609 Shadybend Dr
Pearland, TX 77581-5315
Phone (713) 530-5859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
37093TXMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wendy Morua, PH.D., PLLC Psychologist Past Accepting new patients

Organizations & group practices 1

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": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1235661372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 SHADYBEND DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775815315",
            "telephone_number": "713-530-5859",
            "fax_number": "281-816-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 E WINDING WAY DR",
            "address_2": "SUITE E",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775464852",
            "telephone_number": "281-993-8040",
            "fax_number": "281-816-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORUA",
        "first_name": "WENDY",
        "name_prefix": "Dr.",
        "credential": "PH.D., LP, LSSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "37093",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "37093",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "37093",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "TX",
            "license": "37093",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.