Active NPI
Cynthia Sambataro, DOCTOR OF HEALTH PSY
- Psychoanalyst
- Houston, TX
National Provider Identifier
1831413269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- 097.0135707
- Practice address
- 11306 Ericston Dr
Houston, TX 77070-1345 - Phone
- (281) 966-5254
- NPI assigned
- Mar 13, 2010
- Last updated
- Mar 28, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | 097.0135707 | VT | |
| Specialist | 174400000X | CG60311352 PEND | WA | |
| Research Study Specialist | 1744R1102X | |||
| Psychoanalyst | 102L00000X | 097.0135707 | VT | Primary |
| Integrative Medicine Physician | 202D00000X | 097.0135707 | VT |
Addresses
Primary practice location
11306 Ericston Dr
Houston, TX 77070-1345
Mailing address
21175 State Highway 249
Houston, TX 77070-1655
Phone (819) 665-2542
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 097.0135707 | VT | MD | Pastoral Counselor |
| CG60311352 PEND | WA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston Behavioral Health Institute | Pastoral | Current | Accepting new patients |
Locations
21175 Tomball Pkwy
Houston, TX 77070
Phone (281) 251-5544
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.
-
- Pastoral Counselor
- Houston, TX
- NPI 1649938861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679961600000",
"number": "1831413269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21175 STATE HIGHWAY 249",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770701655",
"telephone_number": "819-665-2542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11306 ERICSTON DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770701345",
"telephone_number": "281-966-5254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMBATARO",
"first_name": "CYNTHIA",
"name_prefix": "Dr.",
"credential": "DOCTOR OF HEALTH PSY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-13",
"last_updated": "2023-03-28",
"certification_date": "2023-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "VT",
"license": "097.0135707",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "CG60311352 PEND",
"primary": false
},
{
"code": "1744R1102X",
"taxonomy_group": "",
"desc": "Specialist, Research Study",
"state": null,
"license": null,
"primary": false
},
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "VT",
"license": "097.0135707",
"primary": true
},
{
"code": "202D00000X",
"taxonomy_group": "",
"desc": "Integrative Medicine",
"state": "VT",
"license": "097.0135707",
"primary": false
}
],
"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 Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.