Supero Psychological Services

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35176 Issued in TX

Legal business name

SUPERO PSYCHOLOGICAL SERVICES

Practice address

908 Town and Country Blvd
Suite 120
Houston, TX 77024-2221

Phone

(713) 396-2985

NPI assigned

Mar 6, 2015

Last updated

Mar 6, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Olivia Denise McGill, PHDNPI 1427341569

Title

Psychologist

Phone

(713) 396-2985

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Olivia Denise McGill, PHD

  • Psychologist
  • Houston, TX
  • NPI 1427341569
  NPD (past) Authorized official

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425600000000",
    "number": "1518350198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 WICHITA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047764",
            "telephone_number": "713-396-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 TOWN AND COUNTRY BLVD",
            "address_2": "SUITE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242221",
            "telephone_number": "713-396-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERO PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-03-06",
        "status": "A",
        "authorized_official_last_name": "MCGILL",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "713-396-2985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "35176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Superior Senior Care
• Superior Sleep Center
• Superior Surgery, PLLC
• Superior Surgical Assistants, LLC
• Superior Surgical Services, LLC
• Supertech Orthotics & Prosthetics LLC
• Superville Chiropratic
• Devon James Superville, PHD
• Thomas Paul Superville, DC
• Supervision Services of Texas

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; 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.