NPIMap

Organization Active NPI

Memorial Hermann

  • Psychiatric Hospital Unit
  • Houston, TX
National Provider Identifier
1700919552
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
19747 Issued in TX
Legal business name
MEMORIAL HERMANN
Practice address
2000 North Loop W
Ste 200
Houston, TX 77018-8124
Phone
(713) 868-2908
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Ava Profota, LPC
Title
Clinical Manager
Phone
(713) 868-2908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 19747 TX Primary

Addresses

Primary practice location

2000 North Loop W
Ste 200
Houston, TX 77018-8124

Mailing address

5518 Santa Chase LN
Sugar Land, TX 77479-5402
Phone (832) 630-3653

National Provider Directory

National Provider Directory
Tax ID family
Memorial Hermann Counseling Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1700919552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5518 SANTA CHASE LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795402",
            "telephone_number": "832-630-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 NORTH LOOP W",
            "address_2": "STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770188124",
            "telephone_number": "713-868-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HERMANN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "PROFOTA",
        "authorized_official_first_name": "AVA",
        "authorized_official_title_or_position": "CLINICAL MANAGER",
        "authorized_official_telephone_number": "713-868-2908",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "TX",
            "license": "19747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 29, 2008; 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.