Active NPI
Daniel Scott Debrule, PH.D.
- Clinical Psychologist
- Houston, TX
National Provider Identifier
1649580911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 36719
- Practice address
- 317 Cage St.
Houston, TX 77020-6113 - Phone
- (713) 725-7265
- NPI assigned
- Oct 20, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 20042453A | IN | |
| Psychologist | 103T00000X | 36719 | TX | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 20042453A | IN | |
| Clinical Psychologist | 103TC0700X | 20042453A | IN | |
| Group Psychotherapy Psychologist | 103TP2701X | 20042453A | IN | |
| Clinical Psychologist | 103TC0700X | 36719 | TX | Primary |
Addresses
Primary practice location
317 Cage St.
Houston, TX 77020-6113
Mailing address
317 Cage St.
Houston, TX 77020-6113
Phone (713) 725-7265
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20042453A | IN | MD | Psychologist |
| 36719 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683590400000",
"number": "1649580911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 CAGE ST.",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770206113",
"telephone_number": "713-725-7265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 CAGE ST.",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770206113",
"telephone_number": "713-725-7265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBRULE",
"first_name": "DANIEL",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-20",
"last_updated": "2023-05-09",
"certification_date": "2023-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IN",
"license": "20042453A",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "36719",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "IN",
"license": "20042453A",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20042453A",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "IN",
"license": "20042453A",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "36719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.