Healthy Minds Psychiatry, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

P9496 Issued in TX

Legal business name

HEALTHY MINDS PSYCHIATRY, PLLC

Doing business as

Healthy MInds Psychiatry

Practice address

2000 S Dairy Ashford Rd
Ste 340
Houston, TX 77077-5700

Phone

(713) 396-0106

Fax

(832) 318-6278

NPI assigned

Oct 4, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Frieda Aboul-Fotouh, MD

Title

Psychiatrist

Phone

(713) 396-0106

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Healthy MInds Psychiatry Doing business as

Locations

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482796800000",
    "number": "1609325521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 DAIRY ASHFORD",
            "address_2": "STE 340",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77077",
            "telephone_number": "713-396-0106",
            "fax_number": "832-318-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S DAIRY ASHFORD RD",
            "address_2": "STE 340",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770775700",
            "telephone_number": "713-396-0106",
            "fax_number": "832-318-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY MINDS PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-12-27",
        "status": "A",
        "authorized_official_last_name": "ABOUL-FOTOUH",
        "authorized_official_first_name": "FRIEDA",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "713-396-0106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "P9496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1437394293",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATION NPI",
            "identifier": "1609325521",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy MInds Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Dec 27, 2016; 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.