Active NPI
Kenneth L Winaker, M.D.
- Psychiatry Physician
- Conroe, TX
National Provider Identifier
1841239613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- E5284
- Practice address
- 1020 Riverwood CT
Conroe, TX 77304-2811 - Phone
- (936) 521-6100
- NPI assigned
- Jun 6, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | E5284 | TX | Primary |
Addresses
Primary practice location
1020 Riverwood CT
Conroe, TX 77304-2811
Mailing address
PO Box 3067
Conroe, TX 77305-3067
Phone (936) 521-6100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137458912 | Medicaid | TX | |
| 8V1980 | Other | TX | BCBS |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E5284 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Harris Center for Mental Health and Idd | Past | Accepting new patients | |
| Jason D. Baron, M.D., PA | Psychiatry | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Houston, TX
- NPI 1346293156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319155200000",
"number": "1841239613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3067",
"city": "CONROE",
"state": "TX",
"postal_code": "773053067",
"telephone_number": "936-521-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 RIVERWOOD CT",
"city": "CONROE",
"state": "TX",
"postal_code": "773042811",
"telephone_number": "936-521-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINAKER",
"first_name": "KENNETH",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2011-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "E5284",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137458912",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8V1980",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.