Individual provider Active NPI

Deborah E Theis, PH.D.

  • Clinical Psychologist
  • Houston, TX
National Provider Identifier
1487677829
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
25778 Issued in TX
Practice address
2450 Fondren Rd Ste 312
Houston, TX 77063-2323
Phone
(713) 789-7560
Fax
(713) 789-7351
NPI assigned
Jul 26, 2006
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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 25778 TX Primary

Addresses

Primary practice location

2450 Fondren Rd Ste 312
Houston, TX 77063-2323

Mailing address

2450 Fondren Rd Ste 312
Houston, TX 77063-2323
Phone (713) 789-7560

Other practice location 1

4314 Yoakum Blvd
Houston, TX 77006-5818
Phone (713) 850-0049

Other identifiers 17

IdentifierTypeStateIssuer
1025775701MedicaidTX
102775711MedicaidTX
102775707MedicaidTX
102775708MedicaidTX
88336AOtherTXBCBS TX
102775706MedicaidTX
102775712MedicaidTX
P00997619OtherTXRR MCR
P01011570OtherTXRR MCR
102775710MedicaidTX
102775704MedicaidTX
102775705MedicaidTX
102775709MedicaidTX
88186AOtherTXBCBS TX HOUSTON
102775702MedicaidTX
P00961151OtherTXRR MCR
P01010614OtherTXRR MCR

Other names 1

  • Deborah E. Theis-Hedge Former name

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
I20031208000147 TX Practitioner - Clinical Psychologist 5395640882 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Texas a & M University System, HSC, College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CPF SJN Outpatient LLCGroup PAC ID 0749637163, 24 clinicians
Total Life IncGroup PAC ID 8123433034, 113 clinicians

Practice addresses (Care Compare)

2450 Fondren Rd
Suite 312
Houston, TX 77063-2323
Phone (713) 789-7560

825 Watters Creek Blvd
Suite 250
Allen, TX 75013-3770
Phone (800) 567-5433

Merit-based Incentive Payment System (MIPS)

Final score
91.17 of 100Reported as group
Quality
83.48
Improvement activities
40
Cost
67.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Total Life Inc. CurrentSince May 1, 2024 Accepting new patients
Deer Oaks Geriatric Services P C Clinical CurrentSince Aug 27, 2015 Accepting new patients
Gericare Behavioral Health PLLC CurrentSince Jun 19, 2024 Accepting new patients
Total Life FL PA Clinical CurrentSince Jul 1, 2025 Accepting new patients
CPF SJN Outpatient, LLC Clinical CurrentSince Jul 14, 2025 Accepting new patients
Deer Oaks Mental Health Associates PC Clinical Past Accepting new patients
Long Term Care Services, LP Clinical Past Accepting new patients

Locations

110 Front St
Ste 300
Jupiter, FL 33477
Phone (205) 246-5690

825 Watters Creek Blvd
Ste 250
Allen, TX 75013
Phone (833) 231-4673

3830 Mustang Rd
Alvin, TX 77511
Phone (281) 585-8484

405 Duncan Perry Rd
Arlington, TX 76011
Phone (817) 649-3366

1500 Sunset Dr
Friendswood, TX 77546
Phone (281) 922-4300

15880 Wallisville Rd
Houston, TX 77049
Phone (281) 457-6242

2450 Fondren Rd
Ste 312
Houston, TX 77063
Phone (713) 914-0277

6150 South Loop E
Houston, TX 77087
Phone (713) 640-2400

7272 Wurzbach Rd
Ste 706
San Antonio, TX 78240
Phone (210) 615-3401

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1487677829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 FONDREN RD STE 312",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632323",
            "telephone_number": "713-789-7560",
            "fax_number": "713-789-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 FONDREN RD STE 312",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632323",
            "telephone_number": "713-789-7560",
            "fax_number": "713-789-7351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4314 Yoakum Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770065818",
            "country_code": "US",
            "telephone_number": "713-850-0049",
            "fax_number": "713-627-7302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THEIS",
        "first_name": "DEBORAH",
        "middle_name": "E",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "25778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025775701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102775711",
            "state": "TX"
        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "102775707",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102775708",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "88336A",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102775706",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102775712",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P00997619",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P01011570",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102775710",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102775704",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102775705",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102775709",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX HOUSTON",
            "identifier": "88186A",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102775702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P00961151",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P01010614",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "THEIS-HEDGE",
            "middle_name": "E.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.