CORWIN BOAKE PH.D. NPI 1942349451

Clinical Neuropsychologist in Houston, TX

NPI 1942349451 Individual Male Clinical Neuropsychologist PECOS Enrolled

About CORWIN BOAKE

Corwin Boake is a provider established in Houston, Texas and his medical specialization is clinical neuropsychologist. The NPI number of Corwin Boake is 1942349451 and was assigned on February 2007. The practitioner's primary taxonomy code is 103G00000X with license number 23147 (TX). The provider is registered as an individual and his NPI record was last updated 9 years ago.

Corwin Boake is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

Corwin Boake is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1942349451

Provider Name CORWIN BOAKE PH.D.
Provider Location Address1333 MOURSUND ST HOUSTON, TX 77030
Provider Mailing Address1333 MOURSUND ST HOUSTON, TX 77030
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date02-05-2007
Last Update Date03-30-2013


Primary Taxonomy

Taxonomy Code103G00000X
ClassificationClinical Neuropsychologist
TypeBehavioral Health & Social Service Providers
License No.23147
License StateTX
Taxonomy DescriptionA 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.

Business Address

CORWIN BOAKE PH.D.
1333 MOURSUND ST
HOUSTON, TX
ZIP 77030
Phone: (713) 799-6990
Fax: (713) 799-7049

Get Directions


Mailing Address

CORWIN BOAKE PH.D.
1333 MOURSUND ST
HOUSTON, TX
ZIP 77030
Phone: (713) 799-6990
Fax: (713) 799-7049



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)No
Eligible order / refer Power Mobility DevicesNo

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical23147TXNo

Taxonomy Description: 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.

2103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)MP.0661LANo

Taxonomy Description: a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
88038HMEDICARE UPIN (02)TX
5DQ62MEDICARE PIN (08)LA
00732TMEDICARE ID-TYPE UNSPECIFIED (04)TX
R56349MEDICARE UPIN (02)TX
1625642MEDICAID (05)TX

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942292966DR. SUSAN MAUREEN LOUGHLIN PHARM.D.
Individual
Pharmacist1333 MOURSUND ST
HOUSTON, TX 77030
(713) 797-5288
1114995206MEDICAL CENTER REHABILITATION PHYSICIANS
Organization
Physical Medicine & Rehabilitation1333 MOURSUND ST
HOUSTON, TX 77030
(713) 797-5991
1518914910 TEODORO A CASTILLO M.D.
Individual
Physical Medicine & Rehabilitation1333 MOURSUND ST
HOUSTON, TX 77030
(713) 799-5052
1053351957DR. SUNIL KOTHARI M.D.
Individual
Physical Medicine & Rehabilitation1333 MOURSUND ST
HOUSTON, TX 77030
(713) 797-5238
1205877529 WILLIAM H DONOVAN M.D.
Individual
Physical Medicine & Rehabilitation1333 MOURSUND ST
HOUSTON, TX 77030
(713) 797-5991
1740217397 CINDY IVANHOE MD
Individual
Physical Medicine & Rehabilitation1333 MOURSUND ST #D110
HOUSTON, TX 77030
(713) 797-5236
1316049729DR. CAROL BODENHEIMER M.D.
Individual
Physical Medicine & Rehabilitation1333 MOURSUND ST
HOUSTON, TX 77030
(713) 797-5248
1174604797DR. MARK SHERER PH.D.
Individual
Psychologist (Clinical)1333 MOURSUND ST TIRR NEUROPSYCHOLOGY DEPT.
HOUSTON, TX 77030
(713) 799-7007
1154403616 PRATHAP J JOSEPH MD
Individual
Physical Medicine & Rehabilitation1333 MOURSUND ST
HOUSTON, TX 77030
(713) 797-5222
1174671929DR. ERIC L KERSTMAN
Individual
Physical Medicine & Rehabilitation1333 MOURSUND ST
HOUSTON, TX 77030
(713) 799-6927
1659427250 MATTHEW EDWARD DAVIS MD
Individual
Physical Medicine & Rehabilitation (Spinal Cord Injury Medicine)1333 MOURSUND ST
HOUSTON, TX 77030
(713) 797-5938
1811035579DR. BERNARD V. SILVER PH.D.
Individual
Psychologist (Clinical)1333 MOURSUND ST MEMORIAL HERMANN TIRR
HOUSTON, TX 77030
(713) 799-5044
1336345933 DIEM THUY HOANG OTR
Individual
Occupational Therapist1333 MOURSUND ST
HOUSTON, TX 77030
(713) 448-6725
1992904544 JULIE LYN PAULK MPT
Individual
Physical Therapist1333 MOURSUND ST
HOUSTON, TX 77030
(504) 520-9320
1255529996 D'ANDREA MICHELLE ANDERS M.D.
Individual
Physical Medicine & Rehabilitation1333 MOURSUND ST A-220
HOUSTON, TX 77030
(713) 799-5033
1255575809DR. LISA WENZEL M.D.
Individual
Physical Medicine & Rehabilitation1333 MOURSUND ST
HOUSTON, TX 77030
(713) 797-5248
1912136409 YI-WEN MICHELLE PU M.D., M.H.A.
Individual
Physical Medicine & Rehabilitation1333 MOURSUND ST
HOUSTON, TX 77030
(713) 799-6927
1619203197MRS. JUDY L THOMAS M.D.
Individual
Physical Medicine & Rehabilitation1333 MOURSUND ST ROOM A220
HOUSTON, TX 77030
(713) 797-5945
1548528078DR. DEHUTI AASHISH PANDYA PHARMD
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)1333 MOURSUND ST PHARMACY: ROOM N106
HOUSTON, TX 77030
(713) 797-5288
1700118338 ELAINE MAGDARAOG MAGAT MD
Individual
Physical Medicine & Rehabilitation1333 MOURSUND ST
HOUSTON, TX 77030
(713) 799-5007

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.