Active NPI
George Michael Wawrykow, PH.D., ABPP
- Clinical Psychologist
- Spring, TX
National Provider Identifier
1295953289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2-2069
- Practice address
- 21082 Greengate Drive
Spring, TX 77388-3445 - Phone
- (281) 382-9769
- Fax
- (281) 353-4948
- NPI assigned
- Apr 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2-2069 | TX | Primary |
Addresses
Primary practice location
21082 Greengate Drive
Spring, TX 77388-3445
Mailing address
P. O. Drawer 1389
Spring, TX 77383-1389
Phone (281) 353-4948
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2-2069 | TX | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295953289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P. O. DRAWER 1389",
"city": "SPRING",
"state": "TX",
"postal_code": "773831389",
"telephone_number": "281-353-4948",
"fax_number": "281-353-4948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21082 GREENGATE DRIVE",
"city": "SPRING",
"state": "TX",
"postal_code": "773883445",
"telephone_number": "281-382-9769",
"fax_number": "281-353-4948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAWRYKOW",
"first_name": "GEORGE",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PH.D., ABPP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "2-2069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.