Individual provider Active NPI

Cynthia Sambataro, DOCTOR OF HEALTH PSY

  • Psychoanalyst
  • Houston, TX
National Provider Identifier
1831413269
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
097.0135707 Issued in VT
Practice address
11306 Ericston Dr
Houston, TX 77070-1345
Phone
(281) 966-5254
NPI assigned
Mar 13, 2010
Last updated
Mar 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
097.0135707VTMDPastoral Counselor
CG60311352 PENDWAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Behavioral Health Institute Pastoral CurrentSince Apr 6, 2023 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.

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.

Verify at the official NPI Registry.