Individual provider Active NPI

Alexandra Tellez, PHD

  • Psychologist
  • Houston, TX
National Provider Identifier
1659039154
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
37130 Issued in TX
Practice address
1200 Congress St
Houston, TX 77002-1962
Phone
(713) 222-4234
NPI assigned
Dec 1, 2021
Last updated
Dec 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 37130 TX Primary

Addresses

Primary practice location

1200 Congress St
Houston, TX 77002-1962

Mailing address

18615 Bridle Grove CT
Tomball, TX 77377-2555
Phone (832) 792-3212

Other practice location 1

723 W 17th St
Houston, TX 77008-3525
Phone (832) 219-8995

Other practice location 2

5959 West Loop S Ste 373
Bellaire, TX 77401-2406
Phone (832) 219-8995

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

LicenseStateTypeSpecialty
37130TXMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1659039154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18615 BRIDLE GROVE CT",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773772555",
            "telephone_number": "832-792-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CONGRESS ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770021962",
            "telephone_number": "713-222-4234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "723 W 17th St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770083525",
            "country_code": "US",
            "telephone_number": "832-219-8995",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5959 West Loop S Ste 373",
            "address_purpose": "LOCATION",
            "city": "Bellaire",
            "state": "TX",
            "postal_code": "774012406",
            "country_code": "US",
            "telephone_number": "832-219-8995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TELLEZ",
        "first_name": "ALEXANDRA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "37130",
            "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 Dec 1, 2021; 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.