NPIMap

Organization Active NPI

Pearland Psychiatry, PA

Doing business as Pearland Psychiatry

  • Psychiatry Physician
  • Pearland, TX
National Provider Identifier
1255609319
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
N1088 Issued in TX
Legal business name
PEARLAND PSYCHIATRY, PA
Doing business as
Pearland Psychiatry
Practice address
3129 Kingsley Dr Ste 1730
Pearland, TX 77584-8511
Phone
(832) 947-3562
NPI assigned
Dec 5, 2011
Last updated
Aug 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Authorized official

Name
Selma Raheem, M.D.NPI 1699986109
Title
President
Phone
(832) 947-3562

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X N1088 TX Primary
Child & Adolescent Psychiatry Physician 2084P0804X N1088 TX

Addresses

Primary practice location

3129 Kingsley Dr Ste 1730
Pearland, TX 77584-8511

Mailing address

3129 Kingsley Dr Ste 1730
Pearland, TX 77584-8511
Phone (832) 947-3562

Other names 1

  • Pearland Psychiatry Doing business as

National Provider Directory

National Provider Directory

Locations

1506 Broadway St
Ste 101
Pearland, TX 77581
Phone (281) 996-7410

1506 Broadway St
Ste 103
Pearland, TX 77581
Phone (832) 847-3562

3129 Kingsley Dr
Ste 1730
Pearland, TX 77584
Phone (832) 947-3562

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1255609319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3129 KINGSLEY DR STE 1730",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848511",
            "telephone_number": "832-947-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3129 KINGSLEY DR STE 1730",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848511",
            "telephone_number": "832-947-3562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLAND PSYCHIATRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "RAHEEM",
        "authorized_official_first_name": "SELMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-947-3562",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "N1088",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "N1088",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearland Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pearland Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.