Benjamin Wowo, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

P9770 Issued in TX

Practice address

424 Park Grove Lane
Katy, TX 77450-1571

Phone

(329) 133-7651

NPI assigned

Jul 15, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

PsychiatryAlso: Addiction Medicine

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Preferred Behavioral Health PLLC

  • Adult Mental Health Clinic/Center
  • Katy, TX
  • NPI 1487019816
  Medicare reassignment NPD Authorized official
• Westpark Springs, LLC

  • Psychiatric Hospital
  • Richmond, TX
  • NPI 1215354899
  NPD (past)

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1295048528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 GRAND PEBBLE LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774940707",
            "telephone_number": "917-434-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 PARK GROVE LANE",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501571",
            "telephone_number": "329-133-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOWO",
        "first_name": "BENJAMIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-15",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD441257",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "P9770",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "P9770",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027389010001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dorothy Woode
• Tonya Woodridge-Jarvis
• Bryanna Mari Woods, CNA, RBT
• Leah Jaye Woodworth
• Autumnn Eunique Wooten, OD
• WPH Clinic PLLC
• Alisha Aprielle Wren, MD
• Brian Donald Wright, M.D.
• Erica Wright, COTA
• Noelle Claire Wright

• Psychiatry Physician in Katy, TX
• Providers in Katy, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.