Active NPI
Susan E Backes, MD
- Psychiatry Physician
- Houston, TX
National Provider Identifier
1972504975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 62635
- Practice address
- 4550 Post Oak Place Dr
Ste 252
Houston, TX 77027-3165 - Phone
- (713) 621-4950
- NPI assigned
- Aug 2, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 62635 | TX | Primary |
Addresses
Primary practice location
4550 Post Oak Place Dr
Ste 252
Houston, TX 77027-3165
Mailing address
4550 Post Oak Place Dr
Ste 252
Houston, TX 77027-3165
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2016 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62635 | TX | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225756800000",
"number": "1972504975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4550 POST OAK PLACE DR",
"address_2": "STE 252",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770273165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4550 POST OAK PLACE DR",
"address_2": "STE 252",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770273165",
"telephone_number": "713-621-4950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACKES",
"first_name": "SUSAN",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-02",
"last_updated": "2008-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "62635",
"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 Nov 4, 2008; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.