Individual provider Active NPI

Kenneth Podell, PH.D.

  • Clinical Neuropsychologist
  • Houston, TX
National Provider Identifier
1811045404
Registry record updated Mar 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
36351 Issued in TX
Practice address
6560 Fannin St Ste 802
Houston, TX 77030-2726
Phone
(713) 441-3780
Fax
(713) 790-6468
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 36351 TX Primary

Addresses

Primary practice location

6560 Fannin St Ste 802
Houston, TX 77030-2726

Mailing address

6560 Fannin St Ste 1840
Houston, TX 77030-2734
Phone (713) 441-3780

Other practice location 1

Henry Ford Health System
One Ford Place 1F -Behavioral
Detroit, MI 48202
Phone (313) 876-6677

Other identifiers 5

IdentifierTypeStateIssuer
310963902MedicaidTX
KP010294OtherCOMMERCIAL-COMMERCIAL NUMBER
KP010294OtherCHAMPUS-CHAMPUS
PHD888810MedicaidMI
7509104450OtherBLUE CROSS-BLUE CROSS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121011000829 TX Practitioner - Clinical Psychologist 6204965536 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians
Houston Methodist Specialty PhysiciansGroup PAC ID 5193239796, 1,498 clinicians

Practice addresses (Care Compare)

4710 Bellaire Blvd
Bellaire, TX 77401-4505
Phone (713) 363-9411

6445 Main St
Suite 2500
Houston, TX 77030-1502
Phone (713) 441-3150

6560 Fannin St
Suite 1750
Houston, TX 77030-2725
Phone (713) 756-5314

7575 San Felipe St
Suite 155
Houston, TX 77063-1777
Phone (713) 266-9955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
36351TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Nov 1, 2016 Accepting new patients
TMH Physician Associates PLLC CurrentSince Nov 1, 2016 Accepting new patients
TMH Physician Organization PastSince Aug 8, 2021 Accepting new patients

Locations

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

6560 Fannin St
Ste 802
Houston, TX 77030
Phone (713) 441-3333

6560 Fannin St
Ste 1840
Houston, TX 77030
Phone (713) 441-3780

6550 Fannin St
Ste 447
Houston, TX 77030
Phone (713) 441-0633

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742083200000",
    "number": "1811045404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST STE 1840",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302734",
            "telephone_number": "713-441-3780",
            "fax_number": "713-790-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST STE 802",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302726",
            "telephone_number": "713-441-3780",
            "fax_number": "713-790-6468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Henry Ford Health System",
            "address_2": "One Ford Place 1F -Behavioral",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "48202",
            "country_code": "US",
            "telephone_number": "313-876-6677",
            "fax_number": "313-874-6650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PODELL",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2025-03-16",
        "certification_date": "2025-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "36351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310963902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL-COMMERCIAL NUMBER",
            "identifier": "KP010294",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS-CHAMPUS",
            "identifier": "KP010294",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHD888810",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-BLUE CROSS",
            "identifier": "7509104450",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.