DR. PETER L STAVINOHA PH.D. NPI 1255499356

NPI Information

NPI: 1255499356
Provider Name: DR. PETER L STAVINOHA, PH.D.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1515 HOLCOMBE BLVD
HOUSTON, TX
ZIP 77030
Phone: (713) 792-6161
Get Directions

DR. Peter L Stavinoha, PH.D. is a clinical neuropsychologist in Houston, TX. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Peter L Stavinoha, PH.D. NPI is 1255499356. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1515 HOLCOMBE BLVD
HOUSTON, TX
ZIP 77030-000
Phone: (713) 792-6161

The NPI 1255499356 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 12/4/2006 and was last updated on 8/18/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103G00000X	Clinical Neuropsychologist		25476	TEXAS	Yes
2	103TC0700X	Psychologist	Clinical	25476	TEXAS	No
3	103TC2200X	Psychologist	Clinical Child & Adolescent	25476	TEXAS	No
4	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	25476	TEXAS	No
5	103TR0400X	Psychologist	Rehabilitation	25476	TEXAS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	039133606	MEDICAID	TEXAS
2	039133607	OTHER	TEXAS	CSHCN TPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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