Individual provider Active NPI

Michelle M Rhodes, PH D

  • Psychologist
  • Houston, TX
National Provider Identifier
1396768370
Registry record updated Apr 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
32684 Issued in TX
Practice address
2450 Fondren Rd
Ste 312
Houston, TX 77063-2318
Phone
(713) 789-7560
Fax
(713) 789-7351
NPI assigned
Jul 25, 2006
Last updated
Apr 15, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 32684 TX Primary
Clinical Psychologist 103TC0700X 32684 TX

Addresses

Primary practice location

2450 Fondren Rd
Ste 312
Houston, TX 77063-2318

Mailing address

2450 Fondren Rd
Ste 312
Houston, TX 77063-2318
Phone (713) 789-7560

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

LicenseStateTypeSpecialty
32684TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
West Houston Rehabilitation Associates, P.a. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239753600000",
    "number": "1396768370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 FONDREN RD",
            "address_2": "STE 312",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632318",
            "telephone_number": "713-789-7560",
            "fax_number": "713-789-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 FONDREN RD",
            "address_2": "STE 312",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632318",
            "telephone_number": "713-789-7560",
            "fax_number": "713-789-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "PH D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2009-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "32684",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "32684",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 15, 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.

Verify at the official NPI Registry.