Individual provider Active NPI

Angela R Larery, PH.D.

  • Clinical Psychologist
  • Stafford, TX
National Provider Identifier
1992934483
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
34051 Issued in TX
Practice address
12603 Southwest Fwy Ste 626
Stafford, TX 77477-3838
Phone
(713) 900-5557
Fax
(713) 489-2030
NPI assigned
Jul 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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 34051 TX Primary

Addresses

Primary practice location

12603 Southwest Fwy Ste 626
Stafford, TX 77477-3838

Mailing address

12603 Southwest Fwy Ste 626
Stafford, TX 77477-3838
Phone (713) 900-5557

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
I20090930000750 TX Practitioner - Clinical Psychologist 7315083599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of North Texas HSC, College of Osteopathic Med, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3831 Pleasant Valley Dr
Missouri City, TX 77459-4111
Phone (713) 900-5557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
34051TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Larery Dvali Psychological Services, PC Current Accepting new patients

Locations

7515 Main St
Ste 605
Houston, TX 77030
Phone (281) 974-4433

Organizations & group practices 2

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": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1992934483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12603 SOUTHWEST FWY STE 626",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773838",
            "telephone_number": "713-900-5557",
            "fax_number": "713-489-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12603 SOUTHWEST FWY STE 626",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773838",
            "telephone_number": "713-900-5557",
            "fax_number": "713-489-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARERY",
        "first_name": "ANGELA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-06",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "34051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

Verify at the official NPI Registry.