Psygen, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

32600 Issued in TX

Legal business name

PSYGEN, LLC

Practice address

50 Sugar Creek Center Blvd Ste 250
Sugar Land, TX 77478-3691

Phone

(281) 494-8666

Fax

(281) 265-5127

NPI assigned

Mar 6, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Sharon W Chada, PH.D.

Title

Vice-President

Phone

(281) 494-8666

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Sharon Chada, Ph.D. Former legal business name

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1972877199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 WATERVIEW CT",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592309",
            "telephone_number": "281-403-6240",
            "fax_number": "281-265-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SUGAR CREEK CENTER BLVD STE 250",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783691",
            "telephone_number": "281-494-8666",
            "fax_number": "281-265-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYGEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "CHADA",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "281-494-8666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TX",
            "license": "32600",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": "32600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1396891032",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sharon Chada, Ph.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Erik Prudhomme
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• PSM1 Management LLC
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• Andrew Michael Psyk, M.D.
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• Ptau PLLC
• Pucillo Family Practice PA
• Ronald M Pucillo, M.D.

• Adult Mental Health Clinic/Center in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Adult Mental Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.