Organization Active NPI

Mary Wilcox Rose, LLC

  • Clinical Psychologist
  • Houston, TX
National Provider Identifier
1679728513
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
31557 Issued in TX
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

Updated by the provider on Mar 6, 2012

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.