Michael Lee Huston, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

00675 Issued in IA

Practice address

3900 Ingersoll Ave
Suite 108
Des Moines, IA 50312-3534

Phone

(515) 279-6200

Fax

(515) 279-4528

NPI assigned

Aug 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Doctor on Demand Professionals P C

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1174931448

  MN, Psychologist

  Medicare reassignment NPD
• James B Corcoran DO JD & Associates

  • Psychiatric/Mental Health Nurse Practitioner
  • West Des Moines, IA
  • NPI 1114972908
  NPD (past)
• Kavalier & Associates PC

  • Marriage & Family Therapist
  • West Des Moines, IA
  • NPI 1497717946
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1841292471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 INGERSOLL AVE",
            "address_2": "SUITE 108",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503123534",
            "telephone_number": "515-279-6200",
            "fax_number": "515-279-4528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 INGERSOLL AVE",
            "address_2": "SUITE 108",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503123534",
            "telephone_number": "515-279-6200",
            "fax_number": "515-279-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSTON",
        "first_name": "MICHAEL",
        "middle_name": "LEE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IA",
            "license": "00675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0249649",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amra Husic, LPN
• Namka Husic
• Tonya Jansen Husmann, LMHC
• Mohammad A Hussain, DO
• Colette Marie Hussey, PHARMD
• Rachel Harriet Huston, PH.D.
• Julie M Hutchens, LPC, LMHC
• Sharon Sue Hutchins, D.O.
• Douglas B Hutchison, DDS
• Alicia Sue Hutt, L.I.S.W

• Psychologist in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Psychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.