Organization Active NPI

Greater Heights Holistic Psychiatry

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1669027413
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
GREATER HEIGHTS HOLISTIC PSYCHIATRY
Practice address
1919 North Loop W Ste 280
Houston, TX 77008-1368
Phone
(832) 930-1202
Fax
(832) 304-6385
NPI assigned
Aug 8, 2019
Last updated
Nov 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Dharmendra KumarNPI 1841448511
Title
Ceo
Phone
(832) 930-1202

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
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1919 North Loop W Ste 280
Houston, TX 77008-1368

Mailing address

1111 North Loop W Ste 900
Houston, TX 77008-4716
Phone (832) 930-1202

Other identifiers 1

IdentifierTypeStateIssuer
403287201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190930002885 TX Part B Supplier - Clinic/Group Practice 2860722162 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

1111 North Loop W
Ste 900
Houston, TX 77008
Phone (832) 930-1202

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1669027413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 NORTH LOOP W STE 900",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770084716",
            "telephone_number": "832-930-1202",
            "fax_number": "832-304-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 NORTH LOOP W STE 280",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081368",
            "telephone_number": "832-930-1202",
            "fax_number": "832-304-6385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER HEIGHTS HOLISTIC PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "DHARMENDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-930-1202"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403287201",
            "state": "TX"
        }
    ],
    "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 Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.