Mohammad Khalid Hamza, PH.D., P.A.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

33373 Issued in TX

Practice address

2300 Hwy 365
Ste. 200
Nederland, TX 77627-6251

Phone

(409) 727-5785

Fax

(409) 729-0465

NPI assigned

May 15, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1487860425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HWY 365",
            "address_2": "STE. 200",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276251",
            "telephone_number": "409-727-5785",
            "fax_number": "409-729-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HWY 365",
            "address_2": "STE. 200",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276251",
            "telephone_number": "409-727-5785",
            "fax_number": "409-729-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMZA",
        "first_name": "MOHAMMAD",
        "middle_name": "KHALID",
        "credential": "PH.D., P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "33373",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "33373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185695702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185695701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chase Donavon Gordon, DDS
• Odis Wayne Gossett, M.D.
• George Wayne Graham, PHD
• Kristen Freeman Gregory, LCSW
• Andrea Hacker
• Kenneth James Hancock, PT
• Makenzie Lauren Harris, MS, CCC-SLP
• Ryland Hathaway, DC
• Healthfirst RX LLC
• Judy E. Hebert, P.A.

• Psychologist in Nederland, TX
• Providers in Nederland, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.