Rune Lassen Moelbak, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

36117 Issued in TX

Practice address

3400 Bissonnet St
Ste 270
Houston, TX 77005-2155

Phone

(832) 542-6244

NPI assigned

Sep 19, 2012

Last updated

Oct 8, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475884800000",
    "number": "1366792194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 ALMEDA RD UNIT 11509",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047673",
            "telephone_number": "412-726-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 BISSONNET ST",
            "address_2": "STE 270",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770052155",
            "telephone_number": "832-542-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOELBAK",
        "first_name": "RUNE",
        "middle_name": "LASSEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-19",
        "last_updated": "2016-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "36117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Larry M. Moehn, CRNA
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• Karen K Moeller, MD
• Kellie A. Moeller, C.N.M.

• Clinical Psychologist in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2016; 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.