| Trivedi Psychological Services, Llc | |
|
1415 North Loop W Ste 616 Houston TX 77008-2278 | |
| (281) 451-8112 | |
| (855) 271-3371 |
| Full Name | Trivedi Psychological Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1415 North Loop W Ste 616, Houston, Texas |
| Authorized Official Name and Position | Shilpa B Trivedi (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2814518112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trivedi Psychological Services, Llc 3919 R V Mayfield Dr Houston TX 77088-5648 Ph: (281) 451-8112 | Trivedi Psychological Services, Llc 1415 North Loop W Ste 616 Houston TX 77008-2278 Ph: (281) 451-8112 |
| NPI Number | 1841611043 |
|---|---|
| Provider Enumeration Date | 12/16/2013 |
| Last Update Date | 05/05/2020 |
| Certification Date | 05/05/2020 |
| Medicare PECOS PAC ID | 9739318882 |
|---|---|
| Medicare Enrollment ID | O20140212001159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841611043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Shilpa B Trivedi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588774012 PECOS PAC ID: 8224288535 Enrollment ID: I20121023000293 |
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