Individual provider Active NPI

Iva Houston

  • Clinical Psychologist
  • Corcoran, CA
National Provider Identifier
1548418528
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY29834 Issued in CA
Practice address
4001 King Ave
Corcoran, CA 93212-9611
Phone
(559) 992-8800
NPI assigned
Sep 3, 2008
Last updated
May 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY29834 CA Primary

Addresses

Primary practice location

4001 King Ave
Corcoran, CA 93212-9611

Mailing address

PO Box 1141
Hanford, CA 93232-1141
Phone (559) 992-8800

Other names 1

  • Eva Houston Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20231101000332 CA Order and Referring Only - Clinical Psychologist 9739535485

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY29834CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
CSP-Corcoran Past Accepting new patients
Corrections and Rehabilitation-Headquarters PastSince Aug 1, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: iva.houston.1@17661.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1548418528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1141",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932321141",
            "telephone_number": "559-992-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 KING AVE",
            "city": "CORCORAN",
            "state": "CA",
            "postal_code": "932129611",
            "telephone_number": "559-992-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSTON",
        "first_name": "IVA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY29834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVA",
            "last_name": "HOUSTON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Corcoran, CA

Sources for this page

Verify at the official NPI Registry.