Active NPI
Carole Ann Busick, PH.D.
- Clinical Psychologist
- Houston, TX
National Provider Identifier
1801829106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 22539
- Practice address
- 804 W Main St
Houston, TX 77006-4919 - Phone
- (713) 942-9747
- Fax
- (713) 942-9778
- NPI assigned
- Jul 9, 2006
- Last updated
- Jul 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 22539 | TX | Primary |
Addresses
Primary practice location
804 W Main St
Houston, TX 77006-4919
Mailing address
804 W Main St
Houston, TX 77006-4919
Phone (713) 942-9747
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22539 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801829106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 W MAIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770064919",
"telephone_number": "713-942-9747",
"fax_number": "713-942-9778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 W MAIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770064919",
"telephone_number": "713-942-9747",
"fax_number": "713-942-9778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSICK",
"first_name": "CAROLE",
"middle_name": "ANN",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "22539",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.