Active NPI
Shirley N Gruen PH D P C
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sugar Land, TX
National Provider Identifier
1508023474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 21926
- Legal business name
- SHIRLEY N GRUEN PH D P C
- Practice address
- 101 Southwestern Blvd
Suite 109
Sugar Land, TX 77478-3548 - Phone
- (281) 491-5250
- Fax
- (281) 242-0707
- NPI assigned
- May 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shirley N Gruen, PH.D.
- Title
- Clinical Psychologist
- Phone
- (281) 491-5250
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 21926 | TX | Primary |
Addresses
Primary practice location
101 Southwestern Blvd
Suite 109
Sugar Land, TX 77478-3548
Mailing address
25227 Shadowmere LN
Katy, TX 77494-6491
Phone (281) 491-5250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0986101-01 | Medicaid | TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Sugar Land, TX
- NPI 1750464616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317945600000",
"number": "1508023474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25227 SHADOWMERE LN",
"city": "KATY",
"state": "TX",
"postal_code": "774946491",
"telephone_number": "281-491-5250",
"fax_number": "281-242-0707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 SOUTHWESTERN BLVD",
"address_2": "SUITE 109",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774783548",
"telephone_number": "281-491-5250",
"fax_number": "281-242-0707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHIRLEY N GRUEN PH D P C",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-19",
"last_updated": "2011-10-07",
"status": "A",
"authorized_official_last_name": "GRUEN",
"authorized_official_first_name": "SHIRLEY",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "281-491-5250",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "TX",
"license": "21926",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0986101-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.