Organization Active NPI

Genesis Clinic & Research PLLC

  • Child & Adolescent Psychiatry Physician
  • Bellaire, TX
National Provider Identifier
1417891748
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
GENESIS CLINIC & RESEARCH PLLC
Practice address
5305 Bissonnet St Ste B
Bellaire, TX 77401-3967
Phone
(713) 776-6505
Fax
(713) 219-9367
NPI assigned
Apr 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Himanshu Upadhyaya, MDNPI 1487762340
Title
President
Phone
(713) 776-6505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0804X Primary

Addresses

Primary practice location

5305 Bissonnet St Ste B
Bellaire, TX 77401-3967

Mailing address

5305 Bissonnet St Ste B
Bellaire, TX 77401-3967
Phone (713) 776-6505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260523000207 TX Part B Supplier - Clinic/Group Practice 4486124146 Receives reassigned benefits from 1 practitioner
Practice locations: Bellaire, TX

National Provider Directory

National Provider Directory

Locations

5305 Bissonnet St
Ste B
Bellaire, TX 77401
Phone (713) 776-6505

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1776297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1417891748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5305 BISSONNET ST STE B",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013967",
            "telephone_number": "713-776-6505",
            "fax_number": "713-219-9367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5305 BISSONNET ST STE B",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013967",
            "telephone_number": "713-776-6505",
            "fax_number": "713-219-9367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS CLINIC & RESEARCH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-16",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "UPADHYAYA",
        "authorized_official_first_name": "HIMANSHU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-776-6505",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.