Active NPI
Shawn Hirsch, PH.D.
- Psychologist
- Houston, TX
National Provider Identifier
1801169081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 33413
- Practice address
- 12301 Main St
Houston, TX 77035-6207 - Phone
- (713) 275-5624
- NPI assigned
- Feb 17, 2012
- Last updated
- Jan 26, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 33413 | TX | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 33413 | TX | |
| School Psychologist | 103TS0200X | 33413 | TX |
Addresses
Primary practice location
12301 Main St
Houston, TX 77035-6207
Mailing address
18114 Mallard Estates CT
Cypress, TX 77429-4591
Phone (832) 413-3434
Other practice location 1
21216 Northwest Fwy
Suite 450
Cypress, TX 77429-1439
Phone (832) 237-2673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33413 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston Psychotherapists Inc. | Clinical Child & Adolescent | Past | Accepting new patients |
| The Monarch School, Inc | Psychologist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Cypress, TX
- NPI 1487840336
Clinical Child & Adolescent
-
dba The Monarch School
- Behavior Analyst
- Houston, TX
- NPI 1649710443
Psychologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706227200000",
"number": "1801169081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18114 MALLARD ESTATES CT",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774294591",
"telephone_number": "832-413-3434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12301 MAIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770356207",
"telephone_number": "713-275-5624"
}
],
"practiceLocations": [
{
"address_1": "21216 Northwest Fwy",
"address_2": "Suite 450",
"address_purpose": "LOCATION",
"city": "Cypress",
"state": "TX",
"postal_code": "774291439",
"country_code": "US",
"telephone_number": "832-237-2673",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HIRSCH",
"first_name": "SHAWN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-17",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "33413",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "TX",
"license": "33413",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "TX",
"license": "33413",
"primary": false
}
],
"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 Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.