Organization Active NPI

Adult Psychiatric Clinic

  • Cognitive & Behavioral Psychologist
  • League City, TX
National Provider Identifier
1750520748
Registry record updated Feb 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
G8762 Issued in TX
Legal business name
ADULT PSYCHIATRIC CLINIC
Practice address
109 Marshall St
League City, TX 77573-2224
Phone
(281) 557-1414
Fax
(281) 557-4242
NPI assigned
Feb 13, 2009
Last updated
Feb 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2009

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

Authorized official

Name
Houshmand John Tirandaz, M.D.
Title
Owner
Phone
(281) 557-1414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X G8762 TX Primary

Addresses

Primary practice location

109 Marshall St
League City, TX 77573-2224

Mailing address

109 Marshall St
League City, TX 77573-2224
Phone (281) 557-1414

National Provider Directory

National Provider Directory

Locations

109 Marshall St
League City, TX 77573
Phone (281) 557-1414

NPI Registry JSON

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1750520748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MARSHALL ST",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732224",
            "telephone_number": "281-557-1414",
            "fax_number": "281-557-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 MARSHALL ST",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732224",
            "telephone_number": "281-557-1414",
            "fax_number": "281-557-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT PSYCHIATRIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "TIRANDAZ",
        "authorized_official_first_name": "HOUSHMAND",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-557-1414",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "TX",
            "license": "G8762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.