Individual provider Active NPI

Andrew W Houtz, PHD

  • Clinical Neuropsychologist
  • Bedford, TX
National Provider Identifier
1750476495
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
24431 Issued in TX
Practice address
1305 Airport Fwy Ste 205
Bedford, TX 76021-6606
Phone
(817) 267-6290
Fax
(817) 267-0950
NPI assigned
Oct 4, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 24431 TX Primary

Addresses

Primary practice location

1305 Airport Fwy Ste 205
Bedford, TX 76021-6606

Mailing address

1305 Airport Fwy Ste 205
Bedford, TX 76021-6606
Phone (817) 267-6290

Other practice location 1

1604 Hospital Pkwy
Ste 501
Bedford, TX 76022-6986
Phone (972) 424-9212

Other identifiers 1

IdentifierTypeStateIssuer
24431OtherTXTEXAS LICENSE

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
24431TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Everhealth ,PLLC Past Accepting new patients
Center for Neurological Disorders, PA PastSince Feb 22, 2010 Accepting new patients
Argosy Mental Health Services P a Past Accepting new patients

Organizations & group practices 3

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1750476495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 AIRPORT FWY STE 205",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760216606",
            "telephone_number": "817-267-6290",
            "fax_number": "817-267-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 AIRPORT FWY STE 205",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760216606",
            "telephone_number": "817-267-6290",
            "fax_number": "817-267-0950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1604 Hospital Pkwy",
            "address_2": "Ste 501",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "TX",
            "postal_code": "760226986",
            "country_code": "US",
            "telephone_number": "972-424-9212",
            "fax_number": "972-509-1450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOUTZ",
        "first_name": "ANDREW",
        "middle_name": "W",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "24431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE",
            "identifier": "24431",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.