Individual provider Active NPI

Myriam Beatriz Thiele, M.D.

  • Psychiatry Physician
  • The Woodlands, TX
National Provider Identifier
1669887865
Registry record updated Dec 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
R4151 Issued in TX
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2023 through Apr 1, 2027

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
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

OrganizationSpecialtyStatusNew patients
The Harris Center for Mental Health and Idd PastSince May 13, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.