Individual provider Active NPI

Dennis Joseph Zgaljardic, PH.D., ABPP-CN

  • Clinical Neuropsychologist
  • Houston, TX
National Provider Identifier
1255599627
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Practice address
1110 Nasa Pkwy Ste 108C
Houston, TX 77058-3351
Phone
(409) 789-1339
NPI assigned
Jun 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 32885 TX
Clinical Neuropsychologist 103G00000X Primary

Addresses

Primary practice location

1110 Nasa Pkwy Ste 108C
Houston, TX 77058-3351

Mailing address

1110 Nasa Pkwy Ste 108C
Houston, TX 77058-3351
Phone (409) 789-1339

Other practice location 1

6875 Phelan Blvd
Beaumont, TX 77706-5993
Phone (409) 789-1339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080805000109 TX Practitioner - Clinical Psychologist 0446324719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1110 Nasa Pkwy
Suite 108C
Houston, TX 77058-3351
Phone (409) 789-1339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
32885TXMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Neuropsychology, PLLC Clinical Neuropsychologist CurrentSince Jan 1, 2020 Accepting new patients

Locations

1110 Nasa Pkwy
Ste 108C
Houston, TX 77058
Phone (409) 789-1339

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1255599627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 NASA PKWY STE 108C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583351",
            "telephone_number": "409-789-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 NASA PKWY STE 108C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583351",
            "telephone_number": "409-789-1339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6875 Phelan Blvd",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777065993",
            "country_code": "US",
            "telephone_number": "409-789-1339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZGALJARDIC",
        "first_name": "DENNIS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PH.D., ABPP-CN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-02",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "32885",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.