DR. PETER L STAVINOHA PH.D.
NPI 1255499356
Clinical Neuropsychologist in Houston, TX

Active since December 04, 2006PECOS Enrolled
1515 HOLCOMBE BLVD, HOUSTON, TX 77030(713) 792-6161 Get Directions Write a Review

NPPES record last updated: August 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 18, 2020, Jan 21, 2016, Dec 10, 2015 (3 updates tracked since 2015).

About Dr. Peter L Stavinoha Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PETER L STAVINOHA PH.D. (NPI 1255499356) is an individual clinical neuropsychologist in Houston, Texas, licensed in Texas (25476) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255499356
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDR. PETER L STAVINOHACredential: PH.D.
Location Address1515 HOLCOMBE BLVDHouston, TX 77030-4000
Mailing AddressPo Box 4439Houston, TX 77210-4439 · (713) 792-2991
Sole ProprietorNo
Enumeration DateDecember 4, 2006
Last NPPES UpdateAugust 18, 20203 updates tracked since enumeration
NPPES CertifiedAugust 18, 2020
NPI 1255499356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License Licensed in TX · 25476
Definition
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.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 25476 (TX)
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 25476 (TX)
Also ListedPsychologist · Intellectual and Developmental DisabilitiesTaxonomy 103TM1800X · License 25476 (TX)
Also ListedPsychologist · RehabilitationTaxonomy 103TR0400X · License 25476 (TX)
1515 HOLCOMBE BLVD, Houston, TX 77030

Other Identifiers 2

Medicaid039133606TX
Other039133607TX · Cshcn Tpi

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Peter L Stavinoha Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Internal Medicine (Nephrology)
1515 HOLCOMBE BLVD, 77030-4009
HOUSTON, TX 77030
Surgery
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Pathology (Anatomic Pathology & Clinical Pathology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Anesthesiology
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Internal Medicine (Medical Oncology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Physician Assistant
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Nurse Practitioner
1515 HOLCOMBE BLVD
HOUSTON, TX 77030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Stavinoha's NPI number?

The NPI number for Peter Stavinoha is 1255499356. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Peter Stavinoha located?

Peter Stavinoha practices at 1515 Holcombe Blvd, Houston, TX 77030. The listed phone number is (713) 792-6161.

What is Peter Stavinoha's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Peter Stavinoha enrolled in Medicare?

Yes. Peter Stavinoha is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Peter Stavinoha was last updated on August 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.