Active NPI
Gaukhar Erzhanovna Amandossova
- Child & Adolescent Psychiatry Physician
- The Woodlands, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- V1392
- Practice address
- TCH Woodlands-Outpatient Services
17580 Interstate 45
The Woodlands, TX 77384 - Phone
- (832) 822-4897
- NPI assigned
- Apr 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | V1392 | TX | Primary |
Addresses
Primary practice location
TCH Woodlands-Outpatient Services
17580 Interstate 45
The Woodlands, TX 77384
Mailing address
3601 4TH St
Lubbock, TX 79430-8103
Phone (806) 743-6744
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V1392 | TX | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Children'S Physician Group | Current | Accepting new patients |
Locations
6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764
101 W Expressway 83
McAllen, TX 78503
Phone (956) 661-9840
17580 Interstate 45 S
The Woodlands, TX 77384
Phone (936) 267-5000
17600 Interstate 45 S
The Woodlands, TX 77384
Phone (936) 267-5000
6651 Main St
Va Hospital, TX 77030
Phone (832) 826-3000
Interoperability endpoints
- garmandossova540897@prddirect.texaschildrens.org
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.
-
- Pediatrics Physician
- Houston, TX
- NPI 1861675506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1952864738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 4TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794308103",
"telephone_number": "806-743-6744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "TCH WOODLANDS-OUTPATIENT SERVICES",
"address_2": "17580 INTERSTATE 45",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "77384",
"telephone_number": "832-822-4897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMANDOSSOVA",
"first_name": "GAUKHAR",
"middle_name": "ERZHANOVNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-09",
"last_updated": "2024-07-10",
"certification_date": "2024-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "TX",
"license": "V1392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.