Individual provider Active NPI

Rahsheda Perine, PHD

  • Clinical Psychologist
  • Houston, TX
National Provider Identifier
1891096426
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
36633 Issued in TX
Practice address
15050 Copper Grove Blvd
#1306
Houston, TX 77095-2299
Phone
(504) 782-3388
NPI assigned
Nov 12, 2010
Last updated
Mar 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 909 LA
Clinical Psychologist 103TC0700X 36633 TX Primary

Addresses

Primary practice location

15050 Copper Grove Blvd
#1306
Houston, TX 77095-2299

Mailing address

15050 Copper Grove Blvd
#1306
Houston, TX 77095-2299
Phone (504) 782-3388

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
I20131109000312 TX Practitioner - Clinical Psychologist 1153556634 Reassigns benefits to 5 organizations
Practice locations: Houston, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renu Mental Wellness GroupGroup PAC ID 6103292586, 3 clinicians
My Bright Future, LLCGroup PAC ID 0648537936, 5 clinicians

Practice addresses (Care Compare)

11500 Northwest Fwy
Suite 304
Houston, TX 77092-6530
Phone (713) 408-7551

2626 S Loop W
Suite 430
Houston, TX 77054-2649
Phone (817) 706-8415

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
909LAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
My Bright Future, LLC CurrentSince Oct 2, 2017 Accepting new patients
Airline Medical Center and Diagnostics,PLLC CurrentSince Oct 19, 2016 Accepting new patients
Renu Mental Wellness Group CurrentSince Aug 1, 2023 Accepting new patients
Amazing Healthcare Inc CurrentSince May 27, 2021 Accepting new patients
Airline Medical Center and Diagnostics,PPLC PastSince Dec 12, 2021 Accepting new patients

Locations

2626 S Loop W
Ste 430
Houston, TX 77054
Phone (713) 333-3771

1906 Treble Dr
Ste 10
Humble, TX 77338
Phone (713) 691-7735

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9404/brand/1/csg/1/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1891096426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15050 COPPER GROVE BLVD",
            "address_2": "#1306",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770952299",
            "telephone_number": "504-782-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15050 COPPER GROVE BLVD",
            "address_2": "#1306",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770952299",
            "telephone_number": "504-782-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERINE",
        "first_name": "RAHSHEDA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-12",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "909",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "36633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.