NPIMap

Organization Active NPI

Medical Psychology Associates, PC

  • Clinical Neuropsychologist
  • Friendswood, TX
National Provider Identifier
1700926805
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
23556 Issued in TX
Legal business name
MEDICAL PSYCHOLOGY ASSOCIATES, PC
Practice address
1560 W Bay Area Blvd Ste 305
Friendswood, TX 77546-2674
Phone
(281) 218-8181
Fax
(281) 218-7676
NPI assigned
Feb 7, 2007
Last updated
Aug 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Authorized official

Name
Dr. Stephen Lippold, PHD
Title
President
Phone
(281) 218-8181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 23556 TX Primary

Addresses

Primary practice location

1560 W Bay Area Blvd Ste 305
Friendswood, TX 77546-2674

Mailing address

1560 W Bay Area Blvd Ste 305
Friendswood, TX 77546-2674
Phone (281) 218-8181

Other identifiers 3

IdentifierTypeStateIssuer
680014828OtherTXPALMETTO GBA
DO9449OtherTXPALMETTO GBA
093993601MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1700926805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 W BAY AREA BLVD STE 305",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775462674",
            "telephone_number": "281-218-8181",
            "fax_number": "281-218-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 W BAY AREA BLVD STE 305",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775462674",
            "telephone_number": "281-218-8181",
            "fax_number": "281-218-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PSYCHOLOGY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2009-08-20",
        "status": "A",
        "authorized_official_last_name": "LIPPOLD",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-218-8181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "23556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "680014828",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "DO9449",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093993601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.