Active NPI
Nina Nicole Houston
- Clinical Psychologist
- Flint, MI
National Provider Identifier
1871999649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- L708855
- Practice address
- 529 M L King Ave
Flint, MI 48502-2002 - Phone
- (810) 238-0483
- Fax
- (810) 239-5518
- NPI assigned
- Nov 6, 2014
- Last updated
- Mar 30, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | L708855 | MI | Primary |
Addresses
Primary practice location
529 M L King Ave
Flint, MI 48502-2002
Mailing address
529 M L King Ave
Flint, MI 48502-2002
Phone (810) 238-0483
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L708855 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427673600000",
"number": "1871999649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "529 M L KING AVE",
"city": "FLINT",
"state": "MI",
"postal_code": "485022002",
"telephone_number": "810-238-0483",
"fax_number": "810-239-5518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 M L KING AVE",
"city": "FLINT",
"state": "MI",
"postal_code": "485022002",
"telephone_number": "810-238-0483",
"fax_number": "810-239-5518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSTON",
"first_name": "NINA",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-06",
"last_updated": "2015-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "L708855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.