Organization Active NPI

Larery Dvali Psychological Services, PC

  • Clinical Neuropsychologist
  • Houston, TX
National Provider Identifier
1649598368
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
34051 Issued in TX
Legal business name
LARERY DVALI PSYCHOLOGICAL SERVICES, PC
Practice address
7515 Main St
Ste. 605
Houston, TX 77030-4519
Phone
(713) 796-9946
Fax
(713) 796-9873
NPI assigned
May 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Authorized official

Name
Angela R Larery, PH.D.NPI 1992934483
Title
Clinical Neuropsychologist
Phone
(832) 794-7513

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X 34051 TX Primary

Addresses

Primary practice location

7515 Main St
Ste. 605
Houston, TX 77030-4519

Mailing address

7515 Main St
Ste. 605
Houston, TX 77030-4519
Phone (713) 796-9946

Other names 1

  • Larery, Nance & Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Larery Dvali Psychological Services PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1649598368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 MAIN ST",
            "address_2": "STE. 605",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304519",
            "telephone_number": "713-796-9946",
            "fax_number": "713-796-9873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7515 MAIN ST",
            "address_2": "STE. 605",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304519",
            "telephone_number": "713-796-9946",
            "fax_number": "713-796-9873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARERY DVALI PSYCHOLOGICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "LARERY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CLINICAL NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "832-794-7513",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "34051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Larery, Nance & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 24, 2010; 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.