Individual provider Active NPI

Ola-Edo Yvonne Nwana, PH.D.

  • Clinical Neuropsychologist
  • Katy, TX
National Provider Identifier
1912337668
Registry record updated Oct 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
37665 Issued in TX
Practice address
21720 Kingsland Blvd.
Katy, TX 77450
Phone
(281) 579-5555
NPI assigned
Nov 16, 2013
Reactivated
Oct 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 37665 TX Primary

Addresses

Primary practice location

21720 Kingsland Blvd.
Katy, TX 77450

Mailing address

21720 Kingsland Blvd.
Katy, TX 77450
Phone (281) 579-5555

Other names 1

  • Ola-Edo Orjiako Former name

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
I20230223000267 TX Practitioner - Clinical Psychologist 9830562818 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians
Houston Methodist Specialty PhysiciansGroup PAC ID 5193239796, 1,498 clinicians

Practice addresses (Care Compare)

13300 Hargrave Rd
Suite 500
Houston, TX 77070-4374
Phone (281) 737-1167

6445 Main St
Suite 2500
Houston, TX 77030-1502
Phone (713) 441-3150

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37665TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Feb 13, 2023 Accepting new patients
TMH Physician Associates PLLC CurrentSince Feb 13, 2023 Accepting new patients

Locations

13300 Hargrave Rd
Ste 500
Houston, TX 77070
Phone (281) 737-1167

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

Interoperability endpoints

  • Direct secure messaging: onwana436800@directhoustonmethodist.org

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1384560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509321600000",
    "number": "1912337668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21720 KINGSLAND BLVD.",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77450",
            "telephone_number": "281-579-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21720 KINGSLAND BLVD.",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77450",
            "telephone_number": "281-579-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWANA",
        "first_name": "OLA-EDO",
        "middle_name": "YVONNE",
        "name_prefix": "Mrs.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-16",
        "last_updated": "2017-10-30",
        "deactivation_date": "2014-05-20",
        "reactivation_date": "2017-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "37665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLA-EDO",
            "last_name": "ORJIAKO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.