NPIMap

Organization Active NPI

Amazing & Creative Therapy on the Spectrum LLC

  • Behavior Analyst
  • Houston, TX
National Provider Identifier
1770120719
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
AMAZING & CREATIVE THERAPY ON THE SPECTRUM LLC
Practice address
14058 Memorial Dr
Houston, TX 77079-6848
Phone
(281) 752-0403
Fax
(281) 752-0502
NPI assigned
Dec 10, 2019
Last updated
Apr 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Authorized official

Name
Ms. Hyeshin H Bouwhuis
Title
Owner
Phone
(832) 758-0090

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Music TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225A00000X

Addresses

Primary practice location

14058 Memorial Dr
Houston, TX 77079-6848

Mailing address

1307 Sherwood Point LN
Houston, TX 77043-2857
Phone (832) 758-0090

Other names 1

  • Awesome & Creative Therapy on the Spectrum LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

14058 Memorial Dr
Houston, TX 77079
Phone (281) 752-0403

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1770120719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 SHERWOOD POINT LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770432857",
            "telephone_number": "832-758-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14058 MEMORIAL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770796848",
            "telephone_number": "281-752-0403",
            "fax_number": "281-752-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING & CREATIVE THERAPY ON THE SPECTRUM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2021-04-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "BOUWHUIS",
        "authorized_official_first_name": "HYESHIN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-758-0090",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Awesome & Creative Therapy on the Spectrum LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Awesome & Creative Therapy on the Spectrum LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.