Individual provider Active NPI

Caren Rae Gertner Fritts, PH.D

  • Psychologist
  • Houston, TX
National Provider Identifier
1760640783
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
34015 Issued in TX
Practice address
4502 Spellman Rd
Houston, TX 77035-6022
Phone
(713) 253-2492
Fax
(936) 653-3787
NPI assigned
May 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 34015 TX Primary

Addresses

Primary practice location

4502 Spellman Rd
Houston, TX 77035-6022

Mailing address

4502 Spellman Rd
Houston, TX 77035-6022
Phone (713) 253-2492

Other identifiers 1

IdentifierTypeStateIssuer
033338703MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090320000226 TX Practitioner - Clinical Psychologist 6608933510 Practice locations: Houston, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1981
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Houston, TX 77035
Phone (713) 253-2492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
34015TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Samantha J Vigneri Psychologist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1760640783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 SPELLMAN RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770356022",
            "telephone_number": "713-253-2492",
            "fax_number": "936-653-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 SPELLMAN RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770356022",
            "telephone_number": "713-253-2492",
            "fax_number": "936-653-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERTNER FRITTS",
        "first_name": "CAREN",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "34015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033338703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.