Individual provider Active NPI

Peter C Cousins, PH.D.

  • Psychologist
  • Houston, TX
National Provider Identifier
1477665735
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
23052 Issued in TX
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, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
034174501MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
23052TXMDClinical 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

Verify at the official NPI Registry.