Organization Active NPI

Avi Raphaeli PHD PC

  • Clinical Psychologist
  • Houston, TX
National Provider Identifier
1780762146
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
TX21764 Issued in TX
Legal business name
AVI RAPHAELI PHD PC
Practice address
909 Frostwood
Houston, TX 77024-2308
Phone
(713) 984-0333
Fax
(713) 984-9838
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jeanne Demore
Title
Office Manager
Phone
(713) 984-0333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X TX21764 TX Primary

Addresses

Primary practice location

909 Frostwood
Houston, TX 77024-2308

Mailing address

909 Frostwood
163
Houston, TX 77024-2308
Phone (713) 984-0333

National Provider Directory

National Provider Directory

Locations

909 Frostwood Dr
#163
Houston, TX 77024

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780762146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 FROSTWOOD",
            "address_2": "163",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242308",
            "telephone_number": "713-984-0333",
            "fax_number": "713-984-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 FROSTWOOD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242308",
            "telephone_number": "713-984-0333",
            "fax_number": "713-984-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVI RAPHAELI PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEMORE",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "713-984-0333"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "TX21764",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.