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TABULA RASA PSYCHOLOGY, PLLC
NPI 1477066512
Psychologist - Clinical in Houston, TX

Active since November 12, 2017
2636 S LOOP W #550-A, HOUSTON, TX 77054(432) 698-0141(281) 605-6722 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 22, 2024, Jul 17, 2024, Mar 16, 2021 and 1 more (4 updates tracked since 2017).

About Tabula Rasa Psychology, Pllc NPPES

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

TABULA RASA PSYCHOLOGY, PLLC (NPI 1477066512) is a healthcare organization registered as a clinical in Houston, Texas and active in the NPI registry since November 2017. The organization lists Blythe Twosisters, Manager/owner, as its authorized official.

NPPES Registry Identity

NPI1477066512
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameTABULA RASA PSYCHOLOGY, PLLC
Location Address2636 S LOOP W #550-AHouston, TX 77054
Mailing Address2636 S Loop W #550-aHouston, TX 77054 · (432) 698-0141 · Fax (281) 605-6722
Phone(432) 698-0141
Fax(281) 605-6722
Organization SubpartNo
Authorized OfficialBlythe TwosistersManager/owner · (214) 997-4697
Enumeration DateNovember 12, 2017
Last NPPES UpdateAugust 22, 20244 updates tracked since enumeration
NPPES CertifiedJuly 17, 2024
✔ NPI 1477066512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in TX · 36566
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologistTaxonomy 103T00000X

Other Identifiers 1

Medicaid4067100TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tabula Rasa Psychology, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Tabula Rasa Psychology, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Blythe Twosisters, PSY.D.
Clinical Psychologist
NPI 1497191902
2636 S LOOP W STE 550-A
Houston, TX 77054
(432) 698-0141
✔ PECOS✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Tabula Rasa Psychology, PLLC's NPI number?

The NPI number for Tabula Rasa Psychology, PLLC is 1477066512. It was assigned to this organization in the NPPES registry on November 12, 2017.

Where is Tabula Rasa Psychology, PLLC located?

Tabula Rasa Psychology, PLLC is located at 2636 S Loop W #550-A, Houston, TX 77054. The listed phone number is (432) 698-0141.

What is Tabula Rasa Psychology, PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Tabula Rasa Psychology, PLLC enrolled in Medicare?

Yes. Tabula Rasa Psychology, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tabula Rasa Psychology, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Tabula Rasa Psychology, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Tabula Rasa Psychology, PLLC accept?

Health plans from Cigna Healthcare and WellPoint list Tabula Rasa Psychology, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tabula Rasa Psychology, PLLC was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.