Individual provider Active NPI

Matthew Eugene Hinthorn, M. D.

  • Psychiatry Physician
  • Houston, TX
National Provider Identifier
1922316462
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
Q4429 Issued in TX
Practice address
12247 Queenston Blvd Ste D
Houston, TX 77095-5333
Phone
(281) 849-4080
NPI assigned
Sep 17, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Q4429 TX Primary

Addresses

Primary practice location

12247 Queenston Blvd Ste D
Houston, TX 77095-5333

Mailing address

12247 Queenston Blvd Ste D
Houston, TX 77095-5333
Phone (281) 849-4080

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
Q4429TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Your Family Psychiatrist, PLLC CurrentSince Apr 6, 2023 Accepting new patients

Locations

17510 Huffmeister Rd
Ste 105
Cypress, TX 77429
Phone (281) 746-2704

12247 Queenston Blvd
#D
Houston, TX 77095
Phone (281) 849-4080

Organizations & group practices 1

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": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1922316462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12247 QUEENSTON BLVD STE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770955333",
            "telephone_number": "281-849-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12247 QUEENSTON BLVD STE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770955333",
            "telephone_number": "281-849-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINTHORN",
        "first_name": "MATTHEW",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-17",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "Q4429",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 31, 2023; 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.