Organization Active NPI

Dominic M. Joseph Mdpa

  • Psychiatry Physician
  • Katy, TX
National Provider Identifier
1851311062
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
J1278 Issued in TX
Legal business name
DOMINIC M. JOSEPH MDPA
Practice address
1331 W Grand Pkwy N
Suite # 320
Katy, TX 77493-2710
Phone
(281) 540-9473
Fax
(281) 265-2761
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2009

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

Authorized official

Name
Dominic M. Joseph, M.D.NPI 1073559159
Title
President
Phone
(281) 300-8711

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X J1278 TX Primary

Addresses

Primary practice location

1331 W Grand Pkwy N
Suite # 320
Katy, TX 77493-2710

Mailing address

1606 Pristine Way
Sugar Land, TX 77479-6651
Phone (281) 300-8711

Other identifiers 2

IdentifierTypeStateIssuer
131226605MedicaidTX
J1278OtherTXMEDICAL LICENSE

National Provider Directory

National Provider Directory

Locations

777 S Fry Rd
Ste 201
Katy, TX 77450
Phone (281) 578-3627

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1851311062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 PRISTINE WAY",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774796651",
            "telephone_number": "281-300-8711",
            "fax_number": "281-395-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 W GRAND PKWY N",
            "address_2": "SUITE # 320",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774932710",
            "telephone_number": "281-540-9473",
            "fax_number": "281-265-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINIC M. JOSEPH MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-300-8711",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "J1278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131226605",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "J1278",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.