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BOB WYNN M.D.
NPI 1992061436
Psychiatry & Neurology - Child & Adolescent Psychiatry in Houston, TX

Active since April 10, 2012PECOS Enrolled
1415 CALIFORNIA ST, HOUSTON, TX 77006(832) 548-5000(713) 351-7361 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 20, 2026, Jul 15, 2024, Feb 4, 2022 and 1 more (4 updates tracked since 2017).

About Bob Wynn M.d. NPPES

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

BOB WYNN M.D. (NPI 1992061436) is an individual child & adolescent psychiatry provider in Houston, Texas, licensed in Texas (U9696) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992061436
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameBOB WYNNCredential: M.D.
Location Address1415 CALIFORNIA STHouston, TX 77006-2602
Mailing Address1415 California StHouston, TX 77006-2602 · (832) 548-5000 · Fax (713) 351-7361
Phone(832) 548-5000
Fax(713) 351-7361
Sole ProprietorNo
Enumeration DateApril 10, 2012
Last NPPES UpdateApril 20, 20264 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
✔ NPI 1992061436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses✔ Licensed in TX · U9696✔ Licensed in WA · MD60739932✔ Licensed in OR · MD182379
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
1415 CALIFORNIA ST, Houston, TX 77006
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bob Wynn M.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.

Medicare Billing Reassignments

2

Medicare enrollment records show Bob Wynn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Legacy Community Health Services, Inc
Same address
Federally Qualified Health Center (FQHC)
1415 CALIFORNIA ST
Houston, TX 77006
  • Reassigned Medicare billing, Texas enrollment
  • 402 clinicians in this Medicare group
NPI 1679524961 (832) 548-5000
Sapphire At Gresham Rehab, LLC
1,824 mi
Skilled Nursing Facility
405 NE 5TH ST
Gresham, OR 97030
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
  • Also billed through NPI 1871848457 (Washington)
  • 3,207 clinicians in this Medicare group
NPI 1033740899 (503) 666-5600

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

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.

TEANDRA VASHON GORDON LMFT
Marriage & Family Therapist
1415 CALIFORNIA ST
HOUSTON, TX 77006
Harris County (832) 548-5000
DR. SEEMA MARIE VARGHESE D.D.S.
Dentist
1415 CALIFORNIA ST
HOUSTON, TX 77006
Harris County (832) 548-5000
NATALIE N. VANEK MD
Internal Medicine (Infectious Disease)
1415 CALIFORNIA ST
HOUSTON, TX 77006
Harris County (832) 548-5000
MR. JOSEPH EDGAR ROBERTS LMSW
Social Worker (Clinical)
1415 CALIFORNIA ST
HOUSTON, TX 77006
Harris County (713) 351-7360
DR. TAMISHA ELISE JONES MD
Pediatrics
1415 CALIFORNIA ST
HOUSTON, TX 77006
Harris County (832) 548-5000
DR. BRANDAN L. URIBE O.D.
Optometrist
1415 CALIFORNIA ST
HOUSTON, TX 77006
Harris County (832) 548-5000
TARA JEAN FLESHNER
Student in an Organized Health Care Education/Training Program
1415 CALIFORNIA ST
HOUSTON, TX 77006
Harris County (713) 665-8800
DR. NATALI MATTERN MUEHE MD
Pediatrics
1415 CALIFORNIA ST
HOUSTON, TX 77006
Harris County (832) 548-5000

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 Bob Wynn's NPI number?

The NPI number for Bob Wynn is 1992061436. It was assigned to this individual provider in the NPPES registry on April 10, 2012.

Where is Bob Wynn located?

Bob Wynn practices at 1415 California St, Houston, TX 77006. The listed phone number is (832) 548-5000.

What is Bob Wynn's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Bob Wynn enrolled in Medicare?

Yes. Bob Wynn is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Bob Wynn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bob Wynn reassigns Medicare benefits to 2 organizations: Legacy Community Health Services, Inc (Houston, TX) and Sapphire At Gresham Rehab, LLC (Gresham, OR). Each 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 Bob Wynn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bob Wynn accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Bob Wynn 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 Bob Wynn was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.