John W Largen Jr., PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

22321 Issued in TX

Practice address

1020 Holcombe Blvd
Ste 1304
Houston, TX 77030-2210

Phone

(713) 799-2818

Fax

(713) 790-1454

NPI assigned

Aug 24, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Clinical Psychologist

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• John Largen and Associates, Inc.

  • Clinical Neuropsychologist
  • Houston, TX
  • NPI 1336133578
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1265425466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 HOLCOMBE BLVD",
            "address_2": "STE 1304",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302210",
            "telephone_number": "713-799-2818",
            "fax_number": "713-790-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 HOLCOMBE BLVD",
            "address_2": "STE 1304",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302210",
            "telephone_number": "713-799-2818",
            "fax_number": "713-790-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARGEN",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "22321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "86691A",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO PRODUCTS",
            "identifier": "5194361",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• London Larce
• Ronald Christopher Larcher, D.C.
• Yeliannis Larduet San
• Camila Laredo, DDS
• Larery Dvali Psychological Services, PC
• Largenta Consultants PA
• Diana Carolina Largo Luna
• Rene Denis Largo, M.D.
• Jessa Marie Laricci, NP
• Gregory Larimer, M.D.

• Clinical Neuropsychologist in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Neuropsychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.