Individual provider Active NPI

Cathy L Guttentag, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Houston, TX
National Provider Identifier
1285660829
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
3-1532 Issued in TX
Practice address
6655 Travis St Ste 800
Houston, TX 77030-1352
Phone
(713) 500-3600
Fax
(713) 383-1482
NPI assigned
Jun 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 3-1532 TX Primary

Addresses

Primary practice location

6655 Travis St Ste 800
Houston, TX 77030-1352

Mailing address

PO Box 201088
Houston, TX 77216-1088
Phone (713) 500-3500

Other identifiers 2

IdentifierTypeStateIssuer
86677AOtherTXBCBS
148029501MedicaidTX

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
I20110616000666 TX Practitioner - Clinical Psychologist 1052599263 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3-1532TXMDClinical Child & Adolescent Psychologist
31532TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Feb 13, 2011 Accepting new patients
Ut Physicians CurrentSince Feb 13, 2011 Accepting new patients

Locations

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

6655 Travis St
Ste 800
Houston, TX 77030
Phone (713) 500-3600

7000 Fannin St
#2401
Houston, TX 77030
Phone (713) 500-3736

Interoperability endpoints

  • Direct secure messaging: cguttentag11399@direct.uth.org

Organizations & group practices 2

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": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1285660829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 201088",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772161088",
            "telephone_number": "713-500-3500",
            "fax_number": "713-500-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 TRAVIS ST STE 800",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301352",
            "telephone_number": "713-500-3600",
            "fax_number": "713-383-1482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTTENTAG",
        "first_name": "CATHY",
        "middle_name": "L",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "3-1532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "86677A",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148029501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.