Active NPI
Cody Carson, PH.D.
- Clinical Psychologist
- Houston, TX
National Provider Identifier
1427295138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 36808
- Practice address
- 1333 Moursund St
Houston, TX 77030-3405 - Phone
- (713) 797-7761
- Fax
- (713) 799-7049
- NPI assigned
- Jan 16, 2009
- Last updated
- Feb 10, 2016
- Sex
- Male
- 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 | 36808 | TX | Primary |
Addresses
Primary practice location
1333 Moursund St
Houston, TX 77030-3405
Mailing address
1333 Moursund St
Houston, TX 77030-3405
Phone (713) 797-7761
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30610026 | Medicaid | KY |
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36808 | TX | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455062400000",
"number": "1427295138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1333 MOURSUND ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303405",
"telephone_number": "713-797-7761",
"fax_number": "713-799-7049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 MOURSUND ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303405",
"telephone_number": "713-797-7761",
"fax_number": "713-799-7049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARSON",
"first_name": "CODY",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-16",
"last_updated": "2016-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "36808",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30610026",
"state": "KY"
}
],
"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 Feb 10, 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.