Active NPI
Gregory A Nystedt, PHD
- Clinical Psychologist
- Houston, TX
National Provider Identifier
1902227952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 21558
- Practice address
- 9950 Cypresswood Dr
Suite 227
Houston, TX 77070-3414 - Phone
- (281) 970-7926
- Fax
- (281) 955-2913
- NPI assigned
- Dec 18, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | 21558 | TX | Primary |
Addresses
Primary practice location
9950 Cypresswood Dr
Suite 227
Houston, TX 77070-3414
Mailing address
9950 Cypresswood Dr
Suite 227
Houston, TX 77070-3414
Phone (281) 970-7926
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21558 | Other | TX | LICENSE FROMTEXAS STATE BOARD OF EXAMINERS OF PSYCHOLOGISTS |
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 |
|---|---|---|---|
| 21558 | TX | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387324800000",
"number": "1902227952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9950 CYPRESSWOOD DR",
"address_2": "SUITE 227",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770703414",
"telephone_number": "281-970-7926",
"fax_number": "281-955-2913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9950 CYPRESSWOOD DR",
"address_2": "SUITE 227",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770703414",
"telephone_number": "281-970-7926",
"fax_number": "281-955-2913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NYSTEDT",
"first_name": "GREGORY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-12-18",
"last_updated": "2013-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "21558",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE FROMTEXAS STATE BOARD OF EXAMINERS OF PSYCHOLOGISTS",
"identifier": "21558",
"state": "TX"
}
],
"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 Dec 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.