Active NPI
Anthony Joseph Kerrigan, PHD
- Counseling Psychologist
- Houston, TX
National Provider Identifier
1972619138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 30631
- Practice address
- 2002 Holcombe Blvd
MHCL 116
Houston, TX 77030 - Phone
- (713) 794-7703
- NPI assigned
- Aug 21, 2006
- Last updated
- Mar 3, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 30631 | TX | Primary |
Addresses
Primary practice location
2002 Holcombe Blvd
MHCL 116
Houston, TX 77030
Mailing address
2002 Holcombe Blvd
MHCL 116
Houston, TX 77030
Phone (713) 794-7703
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30631 | TX | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236038400000",
"number": "1972619138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2002 HOLCOMBE BLVD",
"address_2": "MHCL 116",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "713-794-7703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 HOLCOMBE BLVD",
"address_2": "MHCL 116",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "713-794-7703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERRIGAN",
"first_name": "ANTHONY",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2009-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "TX",
"license": "30631",
"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 Mar 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.