NPI age
3 years
Enumerated 2022-07-07
● Active Type 2 · Organization
Accountable Source
Accountable Source is 1 of 575 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ikoya
Program Manager
Last NPPES update
2022-07-15
Source: monthly bulk 2026-05
How this organization compares
Across 575 active clinic/center providers in Texas.
NPI age
3 years
≈ at median (3 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 35% of peers with subspecialties
NPI lifetime · 2022 → 2026
2022-07Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
2855a Mangum Rd, Suite 502
Houston, TX 77092
Mailing address
2855a Mangum Rd, Suite 502
Houston, TX 77092
Authorized official
David Ikoya
Program Manager
📞 7136868548
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
-
Case ManagementAn organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.