Organization Active NPI

Adaptive Living Solutions LLC

  • Intellectual & Developmental Disabilities Psychologist
  • Roman Forest, TX
National Provider Identifier
1639003288
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
Legal business name
ADAPTIVE LIVING SOLUTIONS LLC
Practice address
21726 Thicket Point LN
Roman Forest, TX 77357-5149
Phone
(713) 657-9995
NPI assigned
Jun 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Authorized official

Name
Simon Peter Gasuza, MD
Title
Manager
Phone
(484) 787-7781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TM1800X Primary

Addresses

Primary practice location

21726 Thicket Point LN
Roman Forest, TX 77357-5149

Mailing address

406 W Gay St
West Chester, PA 19380-2801
Phone (484) 787-7781

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1781049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1639003288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 W GAY ST",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193802801",
            "telephone_number": "484-787-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21726 THICKET POINT LN",
            "city": "ROMAN FOREST",
            "state": "TX",
            "postal_code": "773575149",
            "telephone_number": "713-657-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAPTIVE LIVING SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-10",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "GASUZA",
        "authorized_official_first_name": "SIMON",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "484-787-7781",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.