Active NPI
Carolyn Anderson, PH.D.
- Counseling Psychologist
- Houston, TX
National Provider Identifier
1720296619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 25632
- Practice address
- 1011 Augusta Dr
#107
Houston, TX 77057-2062 - Phone
- (713) 914-9944
- Fax
- (713) 914-9599
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 25632 | TX | Primary |
Addresses
Primary practice location
1011 Augusta Dr
#107
Houston, TX 77057-2062
Mailing address
1011 Augusta Dr
#107
Houston, TX 77057-2062
Phone (713) 914-9944
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25632 | TX | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280361600000",
"number": "1720296619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 AUGUSTA DR",
"address_2": "#107",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770572062",
"telephone_number": "713-914-9944",
"fax_number": "713-914-9599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 AUGUSTA DR",
"address_2": "#107",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770572062",
"telephone_number": "713-914-9944",
"fax_number": "713-914-9599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "CAROLYN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2010-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "TX",
"license": "25632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
- Balistine Antherean Anderson, PHYSICIAN ASSISTANT
- Berkley Kingman Anderson, PA-C
- Billy Ray Anderson, CRNA
- Briel Patricia Anne Anderson, NP
- Carol Anderson, MA, OTR, CHT
- Cheryl Anderson, PCD(DONA)
- Christina Anderson, MD
- Christine M Anderson, MD
- Claire Alyssa Anderson, SLP
- Corneshia Renee Anderson, RBT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.