Active NPI
Myriam Beatriz Thiele, M.D.
- Psychiatry Physician
- The Woodlands, TX
National Provider Identifier
1669887865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- R4151
- Practice address
- 1095 Evergreen Cir Ste 219
The Woodlands, TX 77380-3646 - Phone
- (281) 210-0029
- NPI assigned
- Jun 25, 2014
- Last updated
- Dec 28, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | R4151 | TX | Primary |
Addresses
Primary practice location
1095 Evergreen Cir Ste 219
The Woodlands, TX 77380-3646
Mailing address
1095 Evergreen Cir Ste 219
The Woodlands, TX 77380-3646
Phone (281) 210-0029
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | myriamthielemd.com | Health Information Exchange (HIE) | |
| CONNECT URL | beatriz@myriamthielemd.com | ||
| Direct Messaging Address | beatriz@myriamthielemd.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2023 through Apr 1, 2027
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1500 Pappas St
Laredo, TX 78041-1701
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Harris Center for Mental Health and Idd | Past | Accepting new patients |
Interoperability endpoints
- myriam.thiele@hca5.eclinicaldirectplus.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Northeast Clinic Pharmacy
- Community/Retail Pharmacy
- Houston, TX
- NPI 1508277716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577491200000",
"number": "1669887865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1095 EVERGREEN CIR STE 219",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773803646",
"telephone_number": "281-210-0029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1095 EVERGREEN CIR STE 219",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773803646",
"telephone_number": "281-210-0029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIELE",
"first_name": "MYRIAM",
"middle_name": "BEATRIZ",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-25",
"last_updated": "2019-12-28",
"certification_date": "2019-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "R4151",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "myriamthielemd.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1095 Evergreen Cir Ste 219",
"city": "The Woodlands",
"state": "TX",
"country_code": "US",
"postal_code": "773803646",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "beatriz@myriamthielemd.com",
"affiliation": "N",
"address_1": "1095 Evergreen Cir Ste 219",
"city": "The Woodlands",
"state": "TX",
"country_code": "US",
"postal_code": "773803646",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "beatriz@myriamthielemd.com",
"affiliation": "N",
"address_1": "1095 Evergreen Cir Ste 219",
"city": "The Woodlands",
"state": "TX",
"country_code": "US",
"postal_code": "773803646",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in The Woodlands, TX
- The Woodlands United Methodist Church (Grace Point Marriage & Family Center)
- The Woodlands-Houston Neuro Psychiatric Clinic, P.a.
- The Woodstead Group P.a.
- Therapy and Psychology Services of the Woodlands, PLLC
- Therapy Specialists of the Woodlands
- Susan Dawn Thivierge, PA-C
- Chastity Arnell Thomas, MS, BCBA
- Jenna M Thomas, OTR
- Nadaja Thomas
- Natalya Thomas, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.