Active NPI
Angela R Larery, PH.D.
- Clinical Psychologist
- Stafford, TX
National Provider Identifier
1992934483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 34051
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 34051 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Clinical Neuropsychologist
- Stafford, TX
- NPI 1730568817
-
- Clinical Neuropsychologist
- Houston, TX
- NPI 1649598368
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.