Active NPI
Carolyn Denise Clansy, PHD
- Clinical Neuropsychologist
- Houston, TX
National Provider Identifier
1821185554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 31246
- Practice address
- 8303 Southwest Fwy
Suite 640
Houston, TX 77074-1600 - Phone
- (713) 777-8633
- Fax
- (713) 777-5259
- NPI assigned
- Oct 6, 2006
- Last updated
- Jan 10, 2009
- 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 Neuropsychologist | 103G00000X | 31246 | TX | Primary |
Addresses
Primary practice location
8303 Southwest Fwy
Suite 640
Houston, TX 77074-1600
Mailing address
8303 Southwest Fwy
Suite 640
Houston, TX 77074-1600
Phone (713) 777-8633
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 |
|---|---|---|---|
| 31246 | TX | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charis Psychological Associates | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychologist
- Houston, TX
- NPI 1578707220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231545600000",
"number": "1821185554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8303 SOUTHWEST FWY",
"address_2": "SUITE 640",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770741600",
"telephone_number": "713-777-8633",
"fax_number": "713-777-5259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8303 SOUTHWEST FWY",
"address_2": "SUITE 640",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770741600",
"telephone_number": "713-777-8633",
"fax_number": "713-777-5259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLANSY",
"first_name": "CAROLYN",
"middle_name": "DENISE",
"name_prefix": "Ms.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2009-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "TX",
"license": "31246",
"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 Jan 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.