MEDICARE: PSYCHIATRIC SERVICES OF HOUSTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TB0200X	Cognitive & Behavioral Psychologist	D8507	TX

General Provider Information

NPI Number	:	1760432421
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PSYCHIATRIC SERVICES OF HOUSTON

Provider Business Mailing Address
First Line	:	4150 WESTHEIMER RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-4414
Country	:	US
Telephone Number	:	713-850-0120
Fax Number	:	713-850-0036

Provider Business Practice Location Address
First Line	:	4150 WESTHEIMER RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-4414
Country	:	US
Telephone Number	:	713-850-0120
Fax Number	:	713-850-0036

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LEO J BORRELL
Credential	:	M.D.
Telephone Number	:	713-850-0120

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

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Practice Location Address:

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1164626164 — GALLERIA WELLNESS, LLC
Practice Location Address:

4150 WESTHEIMER RD , SUITE 107
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1184860058 — JANET ENGELGAU LMSW
Practice Location Address:

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1578550919 — JAIRO L BERMUDEZ MD
Practice Location Address:

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Directions to “PSYCHIATRIC SERVICES OF HOUSTON ” Practice Location

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