Organization Active NPI

Trivedi Psychological Services, LLC

  • Psychologist
  • Houston, TX
National Provider Identifier
1841611043
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
TRIVEDI PSYCHOLOGICAL SERVICES, LLC
Practice address
1415 North Loop W Ste 616
Houston, TX 77008-2278
Phone
(281) 451-8112
Fax
(855) 271-3371
NPI assigned
Dec 16, 2013
Last updated
May 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Authorized official

Name
Shilpa B Trivedi, PSY. D.NPI 1588774012
Title
Licensed Clinical Psychologist
Phone
(281) 451-8112

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

1415 North Loop W Ste 616
Houston, TX 77008-2278

Mailing address

3919 R V Mayfield Dr
Houston, TX 77088-5648
Phone (281) 451-8112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140212001159 TX Part B Supplier - Clinic/Group Practice 9739318882 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

1415 North Loop W
Ste 616
Houston, TX 77008
Phone (281) 451-8112

2550 North Loop W
Houston, TX 77092
Phone (281) 451-8112

2550 North Loop W
Ste 260I
Houston, TX 77092

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588636800000",
    "number": "1841611043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3919 R V MAYFIELD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770885648",
            "telephone_number": "281-451-8112",
            "fax_number": "855-271-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 NORTH LOOP W STE 616",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770082278",
            "telephone_number": "281-451-8112",
            "fax_number": "855-271-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIVEDI PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-16",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "TRIVEDI",
        "authorized_official_first_name": "SHILPA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "281-451-8112",
        "authorized_official_credential": "PSY. D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "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 May 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.