Active NPI
Blythe Twosisters, PSY.D.
- Clinical Psychologist
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 36566
- Practice address
- 2636 S Loop W Ste 550-a
Houston, TX 77054-2680 - Phone
- (432) 698-0141
- Fax
- (281) 605-6722
- NPI assigned
- May 13, 2013
- Last updated
- Jul 15, 2024
- Sex
- Female
- 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 Psychologist | 103TC0700X | 36566 | TX | Primary |
Addresses
Primary practice location
2636 S Loop W Ste 550-a
Houston, TX 77054-2680
Mailing address
2636 S Loop W Ste 550-a
Houston, TX 77054-2680
Phone (432) 698-0141
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 Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2636 S Loop W
Suite 550a
Houston, TX 77054-2680
Phone (432) 698-0141
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36566 | TX | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tabula Rasa Psychology, PLLC | Clinical | Current | Accepting new patients |
Locations
2339 Commerce St
Ste 135
Houston, TX 77002
Phone (432) 698-0141
2636 S Loop W
Ste 550A
Houston, TX 77054
Phone (432) 698-0141
448 W 19th St
Houston, TX 77008
Phone (210) 595-9247
5445 Almeda Rd
#407
Houston, TX 77004
5445 Almeda Rd
Ste 407
Houston, TX 77004
Phone (214) 997-4697
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Houston, TX
- NPI 1477066512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1497191902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2636 S LOOP W STE 550-A",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770542680",
"telephone_number": "432-698-0141",
"fax_number": "281-605-6722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2636 S LOOP W STE 550-A",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770542680",
"telephone_number": "432-698-0141",
"fax_number": "281-605-6722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TWOSISTERS",
"first_name": "BLYTHE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-13",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "36566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Stacey Twisdale, CSA
- TWL Neuromonitoring, PLLC
- Two Hands PLLC
- Two Precious Home Health Agency Corporation
- Kelly Twohey-Byrne, PT
- Rowan Twosisters, LM,CPM
- TX a Plus Healthcare Management LLC (ABC Adult Center)
- TX a Plus Healthcare Management LLC (Fondren Adult Day Care)
- TX Excel Care
- TX Med Pharmacy. Inc (TX Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.