Organization Active NPI

Psych on Site of Indiana, Inc.

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1922367234
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PSYCH ON SITE OF INDIANA, INC.
Practice address
3007 Caroline St
Houston, TX 77004-2822
Phone
(713) 942-8100
Fax
(713) 533-1408
NPI assigned
May 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Authorized official

Name
Miss Levail Vinson
Title
Pres/Ceo
Phone
(713) 942-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3007 Caroline St
Houston, TX 77004-2822

Mailing address

3007 Caroline St
Houston, TX 77004-2822
Phone (713) 942-8100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1922367234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 CAROLINE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770042822",
            "telephone_number": "713-942-8100",
            "fax_number": "713-533-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 CAROLINE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770042822",
            "telephone_number": "713-942-8100",
            "fax_number": "713-533-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCH ON SITE OF INDIANA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-07",
        "last_updated": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "VINSON",
        "authorized_official_first_name": "LEVAIL",
        "authorized_official_title_or_position": "PRES/CEO",
        "authorized_official_telephone_number": "713-942-8100",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Sep 4, 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.

Verify at the official NPI Registry.