Individual provider Active NPI

Cecilia Ann Samish, LCSW

  • Psychoanalyst
  • Bellaire, TX
National Provider Identifier
1578760112
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
001874 Issued in TX
Practice address
6300 West Loop South 140
Bellaire, TX 77401-2913
Phone
(713) 661-4332
Fax
(713) 666-0134
NPI assigned
Jun 28, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
001874TXMDPsychoanalyst

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X 001874 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

6300 West Loop South 140
Bellaire, TX 77401-2913

Mailing address

6300 West Loop South 140
Bellaire, TX 77401-2913
Phone (713) 661-4332

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578760112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 WEST LOOP SOUTH 140",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012913",
            "telephone_number": "713-661-4332",
            "fax_number": "713-666-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 WEST LOOP SOUTH 140",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012913",
            "telephone_number": "713-661-4332",
            "fax_number": "713-666-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMISH",
        "first_name": "CECILIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "TX",
            "license": "001874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.