Active NPI
Peter C Cousins, PH.D.
- Psychologist
- Houston, TX
National Provider Identifier
1477665735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 23052
- Practice address
- 3000 Richmond Ave
Suite 425
Houston, TX 77098-3188 - Phone
- (713) 523-5778
- Fax
- (713) 456-2538
- NPI assigned
- Aug 31, 2006
- Last updated
- Apr 21, 2015
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 23052 | TX | Primary |
| Clinical Psychologist | 103TC0700X | 23052 | TX | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 23052 | TX | |
| Family Psychologist | 103TF0000X | 23052 | TX | |
| Forensic Psychologist | 103TF0200X | 23052 | TX |
Addresses
Primary practice location
3000 Richmond Ave
Suite 425
Houston, TX 77098-3188
Mailing address
3701 Kirby Dr
Suite 596
Houston, TX 77098-3900
Phone (713) 523-5778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 034174501 | Medicaid | TX |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060301000548 | TX | Practitioner - Clinical Psychologist | 0749296697 | Practice locations: Houston, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3701 Kirby Dr
Houston, TX 77098-3926
Phone (713) 523-5778
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23052 | TX | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429574400000",
"number": "1477665735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 KIRBY DR",
"address_2": "SUITE 596",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770983900",
"telephone_number": "713-523-5778",
"fax_number": "713-456-2538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 RICHMOND AVE",
"address_2": "SUITE 425",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770983188",
"telephone_number": "713-523-5778",
"fax_number": "713-456-2538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUSINS",
"first_name": "PETER",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2015-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "23052",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "23052",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "TX",
"license": "23052",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "TX",
"license": "23052",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "TX",
"license": "23052",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "034174501",
"state": "TX"
}
],
"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 Apr 21, 2015; 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.