Unknown Individual – Clinical Psychologist, NPI 1841208931
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,347 CLINICAL PSYCHOLOGIST in TX
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Provider Addresses for Unknown Individual
16441 SPACE CENTER BLVD, SUITE C-100
HOUSTON, TX 77058
Phone: (281) 480-7554
Fax: (281) 480-4641
Type: Mailing
Space Center Boulevard, Houston, Harris County, Texas, 77058, United States
HOUSTON, TX 770582015
Phone: (281) 480-7554
Fax: (281) 480-4641
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.
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050207000879 | I | Clinical Psychologist | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 200 | 11 | $0 |
Insurance plans in this area (ZIP 77058)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | TX | |
| Clinical Social Worker | TX | |
| Mental Health Counselor | TX | |
| Mental Health Counselor | TX | |
| Clinical Social Worker | TX | |
| Clinical Psychologist | TX | |
| Mental Health Counselor | TX | |
| Clinical Psychologist | TX | |
| Marriage And Family Therapist | TX | |
| Mental Health Counselor | TX |
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