Active NPI
Shawn Lee Fleck, PH.D.
- Psychologist
- Houston, TX
National Provider Identifier
1851656367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 31734
- Practice address
- 11123 Katy Fwy
Houston, TX 77079-2102 - Phone
- (866) 437-2165
- NPI assigned
- Jul 10, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 31734 | TX | Primary |
| School Psychologist | 103TS0200X | 31816 | TX |
Addresses
Primary practice location
11123 Katy Fwy
Houston, TX 77079-2102
Mailing address
15402 Evergreen Knoll LN
Cypress, TX 77433-5804
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31734 | TX | MD | Psychologist |
| 31816 | TX | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341878400000",
"number": "1851656367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15402 EVERGREEN KNOLL LN",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774335804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11123 KATY FWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770792102",
"telephone_number": "866-437-2165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLECK",
"first_name": "SHAWN",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-10",
"last_updated": "2012-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "31734",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "TX",
"license": "31816",
"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 Jul 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.