Active NPI
Kenneth Podell, PH.D.
- Clinical Neuropsychologist
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 36351
- 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
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 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 310963902 | Medicaid | TX | |
| KP010294 | Other | COMMERCIAL-COMMERCIAL NUMBER | |
| KP010294 | Other | CHAMPUS-CHAMPUS | |
| PHD888810 | Medicaid | MI | |
| 7509104450 | Other | BLUE 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 36351 | TX | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMH Physician Associates PLLC | Current | Accepting new patients | |
| TMH Physician Associates PLLC | Current | Accepting new patients | |
| TMH Physician Organization | Past | 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.
-
- Ophthalmology Physician
- Houston, TX
- NPI 1275779225
-
- Otolaryngology Physician
- Houston, TX
- NPI 1902614332
-
- Orthopaedic Surgery Physician
- Spring, TX
- NPI 1043061351
-
- Family Medicine Physician
- Houston, TX
- NPI 1831862291
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.