Individual provider Active NPI

Malcolm Matthew Housson, PH.D.

  • Clinical Psychologist
  • Dallas, TX
National Provider Identifier
1447381892
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
26901 Issued in TX
Practice address
8100 Lomo Alto Dr Ste 100
Dallas, TX 75225-6575
Phone
(214) 351-0053
Fax
(214) 351-5581
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 26901 TX Primary

Addresses

Primary practice location

8100 Lomo Alto Dr Ste 100
Dallas, TX 75225-6575

Mailing address

8100 Lomo Alto Dr Ste 100
Dallas, TX 75225-6575
Phone (214) 351-0053

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

LicenseStateTypeSpecialty
26901TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Diana Lynn Diduck, PLLC PastSince Feb 7, 2021 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1447381892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 LOMO ALTO DR STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256575",
            "telephone_number": "214-351-0053",
            "fax_number": "214-351-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 LOMO ALTO DR STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256575",
            "telephone_number": "214-351-0053",
            "fax_number": "214-351-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSSON",
        "first_name": "MALCOLM",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "26901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.