Active NPI
Deborah L Kagan, PH.D.
- Clinical Psychologist
- Houston, TX
National Provider Identifier
1770618787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 22982
- Practice address
- 8303 Southwest Fwy
Suite 330
Houston, TX 77074-1600 - Phone
- (713) 774-2122
- Fax
- (713) 774-3223
- NPI assigned
- Feb 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 22982 | TX | |
| Adult Development & Aging Psychologist | 103TA0700X | 22982 | TX | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 22982 | TX | |
| Counseling Psychologist | 103TC1900X | 22982 | TX | |
| Family Psychologist | 103TF0000X | 22982 | TX | |
| Clinical Psychologist | 103TC0700X | 22982 | TX | Primary |
Addresses
Primary practice location
8303 Southwest Fwy
Suite 330
Houston, TX 77074-1600
Mailing address
8303 Southwest Fwy
Suite 330
Houston, TX 77074-1600
Phone (713) 774-2122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86930A | Other | TX | BLUE CROSS & BLUE SHIELD |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041130001125 | TX | Practitioner - Clinical Psychologist | 7810952991 | Practice locations: Houston, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
8907 Birdwood CT
Houston, TX 77096-2107
Phone (832) 844-0606
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22982 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642723200000",
"number": "1770618787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8303 SOUTHWEST FWY",
"address_2": "SUITE 330",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770741600",
"telephone_number": "713-774-2122",
"fax_number": "713-774-3223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8303 SOUTHWEST FWY",
"address_2": "SUITE 330",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770741600",
"telephone_number": "713-774-2122",
"fax_number": "713-774-3223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAGAN",
"first_name": "DEBORAH",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2022-01-21",
"certification_date": "2022-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "22982",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "TX",
"license": "22982",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "TX",
"license": "22982",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "TX",
"license": "22982",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "TX",
"license": "22982",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "22982",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "86930A",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
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 Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.