The Edd Clinic for Psychotherapy and Counseling

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

License

23060 Issued in TX

Legal business name

THE EDD CLINIC FOR PSYCHOTHERAPY AND COUNSELING

Practice address

11767 Katy Fwy
Suite 715
Houston, TX 77079-1716

Phone

(281) 558-6231

Fax

(281) 558-6379

NPI assigned

Nov 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas Edd, PSY.D

Title

Clinical Psychologist

Phone

(281) 558-6231

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1295917458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11767 KATY FWY",
            "address_2": "SUITE 715",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770791716",
            "telephone_number": "281-558-6231",
            "fax_number": "281-558-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11767 KATY FWY",
            "address_2": "SUITE 715",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770791716",
            "telephone_number": "281-558-6231",
            "fax_number": "281-558-6379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EDD CLINIC FOR PSYCHOTHERAPY AND COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "EDD",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "281-558-6231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "TX",
            "license": "23060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085604901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Group Psychotherapy Psychologist in Houston, TX
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.