Individual provider Active NPI

Melody Ann Houston, PH.D

  • Psychologist
  • Fort Worth,, TX
National Provider Identifier
1689187031
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
37793 Issued in TX
Practice address
6420 Southwest Blvd.
Suite Number 111
Fort Worth,, TX 76109
Phone
(817) 718-8611
NPI assigned
Nov 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 37793 TX Primary

Addresses

Primary practice location

6420 Southwest Blvd.
Suite Number 111
Fort Worth,, TX 76109

Mailing address

6420 Southwest Blvd.
Suite 111
Fort Worth, TX 76109-3929
Phone (817) 718-8611

Other practice location 1

6420 Southwest Blvd.
Suite #111
Fort Worth,, TX 76109
Phone (817) 718-8611

Other practice location 2

6410 Southwest Blvd Ste 240
Benbrook, TX 76109-6930
Phone (817) 718-8611

Other practice location 3

3840 Hulen St
Fort Worth, TX 76107-7277
Phone (817) 569-4300

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
I20171208000543 TX Practitioner - Clinical Psychologist 5991062440 Reassigns benefits to 1 organization
Practice locations: Benbrook, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6420 Southwest Blvd
Suite 111
Benbrook, TX 76109-3929
Phone (817) 718-8611

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37793TXMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
My Health My Resources of Tarrant County CurrentSince Aug 27, 2019 Accepting new patients

Locations

3840 Hulen St
Ft Worth, TX 76107
Phone (817) 569-4395

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1689187031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 SOUTHWEST BLVD.",
            "address_2": "SUITE 111",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761093929",
            "telephone_number": "817-718-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 SOUTHWEST BLVD.",
            "address_2": "SUITE NUMBER 111",
            "city": "FORT WORTH,",
            "state": "TX",
            "postal_code": "76109",
            "telephone_number": "817-718-8611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6420 Southwest Blvd.",
            "address_2": "Suite #111",
            "address_purpose": "LOCATION",
            "city": "Fort Worth,",
            "state": "TX",
            "postal_code": "76109",
            "country_code": "US",
            "telephone_number": "817-718-8611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6410 Southwest Blvd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Benbrook",
            "state": "TX",
            "postal_code": "761096930",
            "country_code": "US",
            "telephone_number": "817-718-8611",
            "fax_number": "817-718-8611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3840 Hulen St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761077277",
            "country_code": "US",
            "telephone_number": "817-569-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOUSTON",
        "first_name": "MELODY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "37793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth,, TX

Sources for this page

Verify at the official NPI Registry.