Active NPI
Audrey Frances Burgess, PH.D.
- Clinical Psychologist
- Houston, TX
National Provider Identifier
1356456750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 32242
- Practice address
- 608 Peden St
Houston, TX 77006-1424 - Phone
- (713) 377-8657
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 32242 | TX | Primary |
Addresses
Primary practice location
608 Peden St
Houston, TX 77006-1424
Mailing address
608 Peden St
Houston, TX 77006-1424
Phone (713) 377-8657
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87237A | Other | TX | BCBS PROVIDER I.D. NUMBER |
Other names 1
- Dr. Audrey Frances King
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32242 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deer Oaks Geriatric Services P C | Clinical | Past | Accepting new patients |
| Deer Oaks Mental Health Associates PC | Clinical | Past | Accepting new patients |
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.
-
- Clinical Psychologist
- San Antonio, TX
- NPI 1134169287
-
- Clinical Psychologist
- Las Cruces, NM
- NPI 1134175763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243296000000",
"number": "1356456750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 PEDEN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770061424",
"telephone_number": "713-377-8657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 PEDEN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770061424",
"telephone_number": "713-377-8657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGESS",
"first_name": "AUDREY",
"middle_name": "FRANCES",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2009-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "32242",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER I.D. NUMBER",
"identifier": "87237A",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AUDREY",
"last_name": "KING",
"middle_name": "FRANCES",
"prefix": "DR.",
"credential": "PH.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.