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LARERY-DVALI PSYCHOLOGICAL SERVICES PC
NPI 1730568817
Clinical Neuropsychologist in Stafford, TX

Active since May 22, 2015
12603 SOUTHWEST FWY STE 626, STAFFORD, TX 77477(713) 900-5557(713) 489-2030 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 4, 2026, Mar 3, 2017 (2 updates tracked since 2017).

About Larery-dvali Psychological Services Pc NPPES

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

LARERY-DVALI PSYCHOLOGICAL SERVICES PC (NPI 1730568817) is a healthcare organization registered as a clinical neuropsychologist in Stafford, Texas and active in the NPI registry since May 2015. The organization lists Angela Larery, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1730568817
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameLARERY-DVALI PSYCHOLOGICAL SERVICES PC
Location Address12603 SOUTHWEST FWY STE 626Stafford, TX 77477-3838
Mailing Address12603 Southwest Fwy Ste 626Stafford, TX 77477-3838 · (713) 900-5557 · Fax (713) 489-2030
Phone(713) 900-5557
Fax(713) 489-2030
Organization SubpartNo
Authorized OfficialAngela LareryChief Executive Officer · (832) 794-7513
Enumeration DateMay 22, 2015
Last NPPES UpdateFebruary 4, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
✔ NPI 1730568817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in TX · 34051
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 34051 (TX)
12603 SOUTHWEST FWY STE 626, Stafford, TX 77477
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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 Blue Cross and Blue Shield of Texas.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)

Larery-dvali Psychological Services Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Larery-Dvali Psychological Services PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Angela Larery, PH.D.
Clinical Psychologist
NPI 1992934483
12603 SOUTHWEST FWY STE 626
Stafford, TX 77477
(713) 900-5557
✔ PECOS✔ Accepts MedicareSame address
Shelia Bailey, PH.D.
Clinical Psychologist
NPI 1518246636
10503 HUFF DR
Houston, TX 77031
(832) 453-9186
✔ PECOS3.7 mi

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 Larery-Dvali Psychological Services PC's NPI number?

The NPI number for Larery-Dvali Psychological Services PC is 1730568817. It was assigned to this organization in the NPPES registry on May 22, 2015.

Where is Larery-Dvali Psychological Services PC located?

Larery-Dvali Psychological Services PC is located at 12603 Southwest Fwy Ste 626, Stafford, TX 77477. The listed phone number is (713) 900-5557.

What is Larery-Dvali Psychological Services PC's specialty?

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

Is Larery-Dvali Psychological Services PC enrolled in Medicare?

Yes. Larery-Dvali Psychological Services PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Larery-Dvali Psychological Services PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Larery-Dvali Psychological Services PC. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Larery-Dvali Psychological Services PC accept?

Health plans from Blue Cross and Blue Shield of Texas list Larery-Dvali Psychological Services PC 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 Larery-Dvali Psychological Services PC was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.