Active NPI
Mary Wilcox Rose, LLC
- Clinical Psychologist
- Houston, TX
National Provider Identifier
1679728513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 31557
- Legal business name
- MARY WILCOX ROSE, LLC
- Doing business as
- Needful Sleep
- Practice address
- 10019 Main St Ste A9
Houston, TX 77025-5257 - Phone
- (713) 822-1463
- NPI assigned
- Nov 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mary W Rose, PSYD, CBSM
- Title
- Clinical Psych/Sleep Specialist
- Phone
- (713) 822-1463
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 31557 | TX | Primary |
Addresses
Primary practice location
10019 Main St Ste A9
Houston, TX 77025-5257
Mailing address
3139 W Holcombe Blvd # 364
Houston, TX 77025-1505
Phone (713) 822-1463
Other names 1
- Needful Sleep
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330992000000",
"number": "1679728513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3139 W HOLCOMBE BLVD # 364",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770251505",
"telephone_number": "713-822-1463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10019 MAIN ST STE A9",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770255257",
"telephone_number": "713-822-1463"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARY WILCOX ROSE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-19",
"last_updated": "2012-03-06",
"status": "A",
"authorized_official_last_name": "ROSE",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "CLINICAL PSYCH/SLEEP SPECIALIST",
"authorized_official_telephone_number": "713-822-1463",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD, CBSM"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "31557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Needful Sleep",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.