Individual provider Active NPI

Thomas Cullen Wieck, MD

  • Psychiatry Physician
  • Galveston, TX
National Provider Identifier
1922621531
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
T5493 Issued in TX
Practice address
400 Harborside Dr
Ste 118-119
Galveston, TX 77555-0001
Phone
(409) 772-0770
Fax
(409) 747-4010
NPI assigned
May 19, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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 T5493 TX Primary

Addresses

Primary practice location

400 Harborside Dr
Ste 118-119
Galveston, TX 77555-0001

Mailing address

301 University Blvd
Galveston, TX 77555-0193
Phone (409) 772-0770

Other practice location 1

301 University Blvd
Galveston, TX 77555-0193
Phone (409) 772-0770

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240514000857 TX Practitioner - Psychiatry 7618398397 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Texas Medical Branch at Galveston, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utmb Faculty Group PracticeGroup PAC ID 3375456734, 1,083 clinicians

Practice addresses (Care Compare)

400 Harborside Dr
Suite 118 119
Galveston, TX 77555-0001
Phone (800) 917-8906

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.88 of 100Reported as group
Quality
73.38
Improvement activities
40
Cost
78.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T5493TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice Psychiatry CurrentSince Jul 1, 2024 Accepting new patients
The Gulf Coast Center Psychiatry CurrentSince Aug 26, 2025 Accepting new patients
University of Texas Medical Branch at Galveston PastSince Jul 1, 2024 Accepting new patients

Locations

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

4444 W Main St
League City, TX 77573

7510 FM 1765
Texas City, TX 77591
Phone (409) 935-6083

400 N Texas Ave
Ste A
Webster, TX 77598
Phone (281) 338-2798

Interoperability endpoints

  • Direct secure messaging: twieck40202@direct.utmb.edu

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1922621531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550193",
            "telephone_number": "409-772-0770",
            "fax_number": "409-747-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HARBORSIDE DR",
            "address_2": "STE 118-119",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550001",
            "telephone_number": "409-772-0770",
            "fax_number": "409-747-4010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775550193",
            "country_code": "US",
            "telephone_number": "409-772-0770",
            "fax_number": "409-747-4010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIECK",
        "first_name": "THOMAS",
        "middle_name": "CULLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-19",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "T5493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.