Individual provider Active NPI

Gregory J Tharp, PH. D

  • Clinical Psychologist
  • The Woodlands, TX
National Provider Identifier
1679632046
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
23499 Issued in TX
Practice address
1600 Lake Front Cir Ste 150
The Woodlands, TX 77380-3613
Phone
(281) 705-3410
NPI assigned
Dec 8, 2006
Last updated
May 12, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 23499 TX Primary

Addresses

Primary practice location

1600 Lake Front Cir Ste 150
The Woodlands, TX 77380-3613

Mailing address

1600 Lake Front Cir Ste 150
The Woodlands, TX 77380-3613
Phone (281) 705-3410

Other identifiers 1

IdentifierTypeStateIssuer
0024NNOtherTXBLUE CROSS / BLUE SHEILD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040806000193 TX Practitioner - Clinical Psychologist 3577534429 Practice locations: Conroe, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 S Delmont Dr W
Conroe, TX 77301-1386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242086400000",
    "number": "1679632046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 LAKE FRONT CIR STE 150",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803613",
            "telephone_number": "281-705-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 LAKE FRONT CIR STE 150",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803613",
            "telephone_number": "281-705-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THARP",
        "first_name": "GREGORY",
        "middle_name": "J",
        "credential": "PH. D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2009-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "23499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHEILD",
            "identifier": "0024NN",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.