Individual provider Active NPI

Charles Leonard Cox, PH.D.

  • Clinical Psychologist
  • Sugar Land, TX
National Provider Identifier
1730184490
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
21701 Issued in TX
Practice address
50 Sugar Creek Center Blvd
Ste 250
Sugar Land, TX 77478-3544
Phone
(281) 265-4566
Fax
(281) 265-5127
NPI assigned
Jun 17, 2005
Last updated
Jun 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 21701 TX Primary

Addresses

Primary practice location

50 Sugar Creek Center Blvd
Ste 250
Sugar Land, TX 77478-3544

Mailing address

77 Sugar Creek Center Blvd
Ste 375
Sugar Land, TX 77478-3789
Phone (281) 265-4566

Other identifiers 2

IdentifierTypeStateIssuer
00JM85OtherTXBLUECROSS BLUESHIELD NUMB
87357AOtherTXBCBS PROVIDER NUMBER

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
21701TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Don M Lagrone MD PA Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1730184490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 SUGAR CREEK CENTER BLVD",
            "address_2": "STE 375",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783789",
            "telephone_number": "281-265-4566",
            "fax_number": "281-265-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SUGAR CREEK CENTER BLVD",
            "address_2": "STE 250",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783544",
            "telephone_number": "281-265-4566",
            "fax_number": "281-265-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "CHARLES",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "21701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD NUMB",
            "identifier": "00JM85",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "87357A",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.