Anne Su, Psy.D., PLLC
Organization Active NPI Psychologist · Bellaire, TX
NPI 1346911971 · NPPES record last updated Jun 12, 2024
Key facts
- NPI
- 1346911971
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 103T00000X
- Legal business name
- ANNE SU, PSY.D., PLLC
- Practice address
- 6300 West Loop S Ste 680
Bellaire, TX 77401-2915 - Phone
- (832) 263-1634
- NPI assigned
- Sep 23, 2021
- Organization subpart
- No
Authorized official
- Name
- Dr. Anne Su
- Title
- Licensed Psychologist
- Phone
- (832) 263-1634
Practitioners 3
-
Anne Su, PSY.D.
-
Laurie Baldwin, PH.D.
-
Patricia Perrin Hull, PH.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250722002856 | TX | Part B Supplier - Clinic/Group Practice | 6800302241 |
Receives reassigned benefits from 1 practitioner Practice locations: Bellaire, TX |
National Provider Directory
Locations
6300 West Loop S
Ste 680
Bellaire, TX 77401
Phone (713) 661-4670
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | Yes |
Addresses
Primary practice location
6300 West Loop S Ste 680
Bellaire, TX 77401-2915
Mailing address
6300 West Loop S Ste 680
Bellaire, TX 77401-2915
Phone (832) 263-1634
Other names
- Mustard Seed Psychology
Other providers in Bellaire, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.