Organization Active NPI

Daniel T.L. Tan, M.D., P.a.

Doing business as Spectrum Psychiatric Services

  • Psychiatry Physician
  • Houston, TX
National Provider Identifier
1447396726
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
J3241 Issued in TX
Legal business name
DANIEL T.L. TAN, M.D., P.A.
Doing business as
Spectrum Psychiatric Services
Practice address
10101 Southwest Fwy
Suite 510
Houston, TX 77074-1126
Phone
(713) 779-4200
Fax
(713) 779-5866
NPI assigned
Jan 30, 2007
Last updated
Aug 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Authorized official

Name
Dr. Daniel T. L. Tan, M.D.NPI 1811193766
Title
Owner
Phone
(713) 779-4200

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X J3241 TX Primary
Child & Adolescent Psychiatry Physician 2084P0804X J3241 TX

Addresses

Primary practice location

10101 Southwest Fwy
Suite 510
Houston, TX 77074-1126

Mailing address

10101 Southwest Fwy
Suite 510
Houston, TX 77074-1126
Phone (713) 779-4200

Other identifiers 2

IdentifierTypeStateIssuer
10017070OtherTXAMERIGROUP MEDICAID #
132061602MedicaidTX

Other names 1

  • Spectrum Psychiatric Services Doing business as

National Provider Directory

National Provider Directory

Locations

10101 Southwest Fwy
Ste 510
Houston, TX 77074
Phone (713) 606-6300

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1447396726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 SOUTHWEST FWY",
            "address_2": "SUITE 510",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741126",
            "telephone_number": "713-779-4200",
            "fax_number": "713-779-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 SOUTHWEST FWY",
            "address_2": "SUITE 510",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741126",
            "telephone_number": "713-779-4200",
            "fax_number": "713-779-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL T.L. TAN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "T. L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-779-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "J3241",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "J3241",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP MEDICAID #",
            "identifier": "10017070",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132061602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum Psychiatric Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 29, 2013; 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.