Victoria Behavioral Services Clinic LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

VICTORIA BEHAVIORAL SERVICES CLINIC LLC

Practice address

16205 Westheimer Rd Ste 100
Houston, TX 77082-1207

Phone

(281) 293-9200

Fax

(281) 293-9203

NPI assigned

Sep 29, 2020

Last updated

Dec 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Ezera Nwojo

Title

Administrator

Phone

(281) 902-7580

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Titi Omoyajowo, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
  • NPI 1215686738

  Single Specialty

  Medicare reassignment NPD
• Kenisha Rotibi

  • Case Management Agency
  • Grand Prairie, TX
  • NPI 1679029136

  Community/Behavioral Health

  Medicare reassignment NPD
• Juan Smith, LCSW

  • Clinical Social Worker
  • Baton Rouge, LA
  • NPI 1760659551

  TX

  Medicare reassignment NPD
• Kirk Lockwood, PH.D

  • Clinical Psychologist
  • Houston, TX
  • NPI 1952447898
  NPD (past)
• Ignacio H Valdes, M.D.

  • Psychiatry Physician
  • Houston, TX
  • NPI 1760546360
  NPD (past)

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702080000000",
    "number": "1376150839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16205 WESTHEIMER RD STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770821207",
            "telephone_number": "281-293-9200",
            "fax_number": "281-293-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16205 WESTHEIMER RD STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770821207",
            "telephone_number": "281-293-9200",
            "fax_number": "281-293-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA BEHAVIORAL SERVICES CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-29",
        "last_updated": "2023-12-09",
        "certification_date": "2023-12-09",
        "status": "A",
        "authorized_official_last_name": "NWOJO",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "EZERA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-902-7580",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl B Victor, LMT
• David W Victor III, M.D.
• Deena Cheree Victor, RDLD
• Macrina Elaine Victor, AGACNP-BC
• Vandhana Fredy Victor, PHYSICIAN ASSISTANT
• Victoria Bryant Consulting, LLC
• Victoria Glickman-Pham,O.D.,PLLC (InSight Eyecare)
• Victoria Jefferson (Caring Health Services)
• Victoria Pain and Rehabilitation Consultant PA
• Victoria Q. Cisneros Dentistry PLLC (Cisneros Family Dentistry)

• Community/Behavioral Health Agency in Houston, TX
• Providers in Houston, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.