Organization Active NPI

David S Wachtel PHD & Associates, PC

  • Psychologist
  • Houston, TX
National Provider Identifier
1801946348
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
22274 Issued in TX
Legal business name
DAVID S WACHTEL PHD & ASSOCIATES, PC
Practice address
5252 Westchester St
105
Houston, TX 77005-4141
Phone
(713) 668-9126
Fax
(713) 668-9127
NPI assigned
Jan 10, 2007
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
Dr. David Saul Wachtel, PH. D.
Title
Owner-President
Phone
(713) 668-9126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 22274 TX Primary

Addresses

Primary practice location

5252 Westchester St
105
Houston, TX 77005-4141

Mailing address

5252 Westchester St
105
Houston, TX 77005-4141
Phone (713) 668-9126

Other identifiers 1

IdentifierTypeStateIssuer
BY67OtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

5252 Westchester St
Ste 105
Houston, TX 77005
Phone (713) 664-0229

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801946348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 WESTCHESTER ST",
            "address_2": "105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770054141",
            "telephone_number": "713-668-9126",
            "fax_number": "713-668-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5252 WESTCHESTER ST",
            "address_2": "105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770054141",
            "telephone_number": "713-668-9126",
            "fax_number": "713-668-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S WACHTEL PHD & ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WACHTEL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "SAUL",
        "authorized_official_title_or_position": "OWNER-PRESIDENT",
        "authorized_official_telephone_number": "713-668-9126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH. D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "22274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "BY67",
            "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 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.