Individual provider Active NPI

Nneka Nnadozie, PSYD

  • Clinical Psychologist
  • Houston, TX
National Provider Identifier
1962701649
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
37979 Issued in TX
Practice address
3000 Weslayan St Ste 265
Houston, TX 77027-5751
Phone
(832) 298-4715
NPI assigned
Mar 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 37979 TX Primary

Addresses

Primary practice location

3000 Weslayan St Ste 265
Houston, TX 77027-5751

Mailing address

3000 Weslayan St Ste 265
Houston, TX 77027-5751
Phone (832) 298-4715

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
I20190523000934 TX Practitioner - Clinical Psychologist 6305189929 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37979TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
360 Therapy & Psychological Services, LLC Clinical CurrentSince Apr 13, 2024 Accepting new patients

Locations

3000 Weslayan St
Ste 265
Houston, TX 77027
Phone (346) 444-9038

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": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1962701649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 WESLAYAN ST STE 265",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770275751",
            "telephone_number": "832-298-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 WESLAYAN ST STE 265",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770275751",
            "telephone_number": "832-298-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NNADOZIE",
        "first_name": "NNEKA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-21",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "37979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.