Individual provider Active NPI

Michael Alexander Howe, PH.D.

  • Clinical Psychologist
  • Waco, TX
National Provider Identifier
1871583294
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
23619 Issued in TX
Practice address
4949 Franklin Ave Ste 309
Waco, TX 76710-6900
Phone
(254) 776-0400
Fax
(254) 776-0637
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 23619 TX Primary

Addresses

Primary practice location

4949 Franklin Ave Ste 309
Waco, TX 76710-6900

Mailing address

4949 Franklin Ave Ste 309
Waco, TX 76710-6900
Phone (254) 776-0400

Other identifiers 4

IdentifierTypeStateIssuer
031788501MedicaidTX
117085OtherTXCHIP PROVIDER NUMBER
00T51YOtherTXBC/BS PROVIDER NUMBER
115501101OtherTXSWL PROVIDER NUMBER

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20111108000509 TX Practitioner - Clinical Psychologist 1355514332 Practice locations: Clifton, TX; Waco, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4555 Lake Shore Dr
Waco, TX 76710-1814
Phone (254) 776-0400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
23619TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1871583294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 FRANKLIN AVE STE 309",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767106900",
            "telephone_number": "254-776-0400",
            "fax_number": "254-776-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 FRANKLIN AVE STE 309",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767106900",
            "telephone_number": "254-776-0400",
            "fax_number": "254-776-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWE",
        "first_name": "MICHAEL",
        "middle_name": "ALEXANDER",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "23619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031788501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIP PROVIDER NUMBER",
            "identifier": "117085",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "00T51Y",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SWL PROVIDER NUMBER",
            "identifier": "115501101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.