Organization Active NPI

Gulf Coast Neuropsychology, PLLC

  • Clinical Neuropsychologist
  • Houston, TX
National Provider Identifier
1710511753
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
GULF COAST NEUROPSYCHOLOGY, PLLC
Practice address
1110 Nasa Pkwy Ste 108C
Houston, TX 77058-3351
Phone
(409) 789-1339
Fax
(713) 481-6304
NPI assigned
Feb 28, 2020
Last updated
Mar 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Authorized official

Name
Dr. Dennis Joseph Zgaljardic, PH.D.NPI 1255599627
Title
Owner, Director, Neuropsychologist
Phone
(409) 789-1339

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X Primary

Addresses

Primary practice location

1110 Nasa Pkwy Ste 108C
Houston, TX 77058-3351

Mailing address

1110 Nasa Pkwy Ste 108C
Houston, TX 77058-3351
Phone (409) 789-1339

Other identifiers 1

IdentifierTypeStateIssuer
32885OtherTXLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200402002107 TX Part B Supplier - Clinic/Group Practice 6002245610 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

1110 Nasa Pkwy
Ste 108C
Houston, TX 77058
Phone (409) 789-1339

Practitioners & affiliated clinicians

Practitioners 1

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": "1582848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774569600000",
    "number": "1710511753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 NASA PKWY STE 108C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583351",
            "telephone_number": "409-789-1339",
            "fax_number": "713-481-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 NASA PKWY STE 108C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583351",
            "telephone_number": "409-789-1339",
            "fax_number": "713-481-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST NEUROPSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-28",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A",
        "authorized_official_last_name": "ZGALJARDIC",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER, DIRECTOR, NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "409-789-1339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "32885",
            "state": "TX"
        }
    ],
    "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 Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.