Organization 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
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
21926 Issued in TX
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

Updated by the provider on Oct 7, 2011

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.NPI 1750464616
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0986101-01MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.