Missid George Ghanem, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

26864 Issued in TX

Practice address

26515 Oakridge Dr
Woodland, TX 77380

Phone

(281) 367-0328

Fax

(281) 419-9753

NPI assigned

Aug 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Clinical Psychologist

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sighbenn Healing and Cultural Place

  dba Life Center Healing and Cultural Place

  • Family Psychologist
  • The Woodlands, TX
  • NPI 1003015777
  Medicare reassignment NPD Authorized official
• Fadi G. Ghanem, MD PA

  dba Maternal and Family Clinic

  • Family Medicine Physician
  • The Woodlands, TX
  • NPI 1386868875
  NPD (past)
• Samantha J Vigneri

  dba Comprehensive Therapies and Services

  • Social Worker
  • Hempstead, TX
  • NPI 1073617684

  Psychologist

  NPD (past)
• Samantha J Vigneri

  dba Comprehensive Therapies and Services

  • Psychiatry Physician
  • Hempstead, TX
  • NPI 1861420515

  Psychologist

  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426809600000",
    "number": "1619082617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26515 OAK RIDGE DR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801966",
            "telephone_number": "281-367-0328",
            "fax_number": "281-419-9753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26515 OAKRIDGE DR",
            "city": "WOODLAND",
            "state": "TX",
            "postal_code": "77380",
            "telephone_number": "281-367-0328",
            "fax_number": "281-419-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHANEM",
        "first_name": "MISSID",
        "middle_name": "GEORGE",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2015-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "26864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP P-TAN",
            "identifier": "00Y917",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097011302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Divine Healthcare Consultants LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.