DR. HOLLY OUIDA HOUSTON (PH.D.) – Clinical Psychologist, NPI 1174703912

DR. HOLLY OUIDA HOUSTON (PH.D.) is a healthcare provider. based in Flossmoor, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 071004128 (IL). The NPI Number for DR. HOLLY OUIDA HOUSTON (PH.D.) is 1174703912

Main info

Female
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. HOLLY OUIDA HOUSTON (PH.D.)
NPI
1174703912
Phone
(708) 957-7718
Address
2615 BRASSIE AVE
Enumeration Date
9 November 2007
Last Update Date
12 June 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7083495433
Graduation Year
1988 (38 years ago)
PAC ID
0345320784
Group Practice PAC ID
9032299474
Professional Enrollment ID
I20080110000335
Address ID
IL604302140HO18161AVEX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

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Provider Addresses for DR. HOLLY OUIDA HOUSTON (PH.D.)

  • Brassie Avenue, Flossmoor, Rich Township, Cook County, Illinois, 60422, United States

    FLOSSMOOR, IL 604221819

    Phone: (708) 957-7718

    Fax: (708) 957-7721

    Type: Mailing

  • 18161, Morris Avenue, Homewood, Thornton Township, Cook County, Illinois, 60430, United States

    SUITE 102

    HOMEWOOD, IL 604302108

    Phone: (708) 349-5433

    Fax: (708) 349-5433

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-01-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080110000335IClinical PsychologistILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour12715$0
90834Psychotherapy, 45 minutes9817$0
View full utilization report →

Insurance plans in this area (ZIP 60422)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032299474View full group profile
NameSpecialtyState
Clinical Social WorkerIN
Clinical PsychologistIL
Clinical Social WorkerIL
Marriage And Family TherapistIL
Clinical Social WorkerIL
Clinical Social WorkerIL
-IL

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. HOLLY OUIDA HOUSTON (PH.D.)?
DR. HOLLY OUIDA HOUSTON (PH.D.) — NPI 1174703912 — is the standard way to identify this listing.
Does the file indicate DR. HOLLY OUIDA HOUSTON (PH.D.) is practicing under active NPI?
Directory data currently reports DR. HOLLY OUIDA HOUSTON (PH.D.) as active.
What is DR. HOLLY OUIDA HOUSTON (PH.D.)'s primary classification?
Clinical Psychologist is the headline specialty for DR. HOLLY OUIDA HOUSTON (PH.D.) here. Clinical services aligned with this taxonomy classification.
What area does DR. HOLLY OUIDA HOUSTON (PH.D.) serve?
DR. HOLLY OUIDA HOUSTON (PH.D.)'s listing highlights Flossmoor, Illinois; more addresses can appear in NPPES.
Is the information about DR. HOLLY OUIDA HOUSTON (PH.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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