Organization Active NPI

Neurodevelopment Center of Greater Houston

  • Intellectual & Developmental Disabilities Psychologist
  • Houston, TX
National Provider Identifier
1902650575
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
Legal business name
NEURODEVELOPMENT CENTER OF GREATER HOUSTON
Doing business as
Neurodevelopment Center of Greater Houston
Practice address
4203 Montrose Blvd Ste 290
Houston, TX 77006-5470
Phone
(281) 881-6877
NPI assigned
Apr 11, 2024
Organization subpart
Yes
Parent organization
INTEGRAL FLOW, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Authorized official

Name
Dr. Tara Coker Devine, PHDNPI 1508886276
Title
Owner/Developmental Psychologist
Phone
(281) 881-6877

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Intellectual & Developmental Disabilities PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TM1800X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X

Addresses

Primary practice location

4203 Montrose Blvd Ste 290
Houston, TX 77006-5470

Mailing address

1304 Blodgett St
Houston, TX 77004-5011
Phone (281) 881-6877

Other names 1

  • Neurodevelopment Center of Greater Houston Doing business as

National Provider Directory

National Provider Directory
Part of
Neurodevelopment Center of Greater Houston

Locations

4203 Montrose Blvd
Ste 290
Houston, TX 77006
Phone (281) 881-6877

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1902650575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 BLODGETT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770045011",
            "telephone_number": "281-881-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 MONTROSE BLVD STE 290",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770065470",
            "telephone_number": "281-881-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURODEVELOPMENT CENTER OF GREATER HOUSTON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRAL FLOW, LLC",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "DEVINE",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "COKER",
        "authorized_official_title_or_position": "OWNER/DEVELOPMENTAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "281-881-6877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurodevelopment Center of Greater Houston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 11, 2024; 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.