Active NPI
Saji Kumar Kannollil, LCSW
- Clinical Social Worker
- Houston, TX
National Provider Identifier
1457591950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 52231
- Practice address
- 7200 North Loop E
Houston, TX 77028-5951 - Phone
- (713) 970-8700
- NPI assigned
- Feb 24, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 Social Worker | 1041C0700X | 52231 | TX | Primary |
Addresses
Primary practice location
7200 North Loop E
Houston, TX 77028-5951
Mailing address
2527 Sunrise Harbor LN
Pearland, TX 77584-3248
Phone (281) 990-9329
Other practice location 1
6110 Pinemont Dr Ste 106
Houston, TX 77092-3200
Phone (713) 686-9194
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.49 of 100
- Quality
- 78.41
- Improvement activities
- 40
- Cost
- 77.88
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Harris Center for Mental Health and Idd | Current | Accepting new patients |
Locations
9401 Southwest Fwy
Houston, TX 77074
Phone (713) 970-3344
7200 North Loop E
Houston, TX 77028
Phone (713) 970-8625
1502 Taub Loop
Houston, TX 77030
Phone (713) 873-4900
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.
-
- Community/Behavioral Health Agency
- Houston, TX
- NPI 1346293156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594166400000",
"number": "1457591950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2527 SUNRISE HARBOR LN",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775843248",
"telephone_number": "281-990-9329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 NORTH LOOP E",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770285951",
"telephone_number": "713-970-8700"
}
],
"practiceLocations": [
{
"address_1": "6110 Pinemont Dr Ste 106",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770923200",
"country_code": "US",
"telephone_number": "713-686-9194",
"fax_number": "713-686-9413",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANNOLLIL",
"first_name": "SAJI",
"middle_name": "KUMAR",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-24",
"last_updated": "2020-07-08",
"certification_date": "2020-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "52231",
"primary": true
}
],
"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 Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.