Adult & Child Psychiatric Clinic

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

14761 Issued in TX

Legal business name

ADULT & CHILD PSYCHIATRIC CLINIC

Practice address

17625 El Camino Real
Suite 160
Houston, TX 77058-3052

Phone

(281) 286-0110

Fax

(282) 860-0411

NPI assigned

Jun 21, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Candy Cress Decker, MA, LPC

Title

Psychotherapist

Phone

(281) 286-0110

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1861438764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17625 EL CAMINO REAL",
            "address_2": "SUITE 160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583085",
            "telephone_number": "281-286-0110",
            "fax_number": "282-860-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17625 EL CAMINO REAL",
            "address_2": "SUITE 160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583052",
            "telephone_number": "281-286-0110",
            "fax_number": "282-860-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT & CHILD PSYCHIATRIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "CANDY",
        "authorized_official_middle_name": "CRESS",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "281-286-0110",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "14761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Houston, TX
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• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.