ROLF WALLACE GORDHAMER (NPI# 1174568869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174568869 |
| Entity Type | Individual |
| Full Name | ROLF WALLACE GORDHAMER |
| Credential | PHD |
| Practice Address |
12012 Wickchester Ln Suite 550 Houston TX 77079-1229 |
| Practice Telephone | 8324482800 |
| Practice Fax Number | 8324482801 |
| Mailing Telephone | 8324482800 |
| Mailing Fax Number | 8324482801 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
21828 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8D1104 | 01 |
| TX | RAILROAD | P00197542 | 01 |
| Street Address |
12012 WICKCHESTER LN SUITE 550 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77079-1229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649220468 | Jeffrey Douglas Cole | Psychologist | 12012 Wickchester Ln, Suite 550, Houston, TX 77079-1229 | 2006-05-11 |
| 1982897476 | Robert M Dunson IIi | Psychologist | 12012 Wickchester Ln, Suite 550, Houston, TX 77079-1229 | 2007-08-20 |
| 1831392984 | Dori L Hilker | Psychologist | 12012 Wickchester Ln, Suite 550, Houston, TX 77079-1229 | 2007-06-07 |
| 1356542351 | Walter Journigan | Psychologist | 12012 Wickchester Ln, Suite 550, Houston, TX 77079-1229 | 2007-05-29 |
| 1114128394 | Alice Ann Abbott | Psychologist | 12012 Wickchester Ln, Suite550, Houston, TX 77079-1229 | 2007-05-29 |
| 1205037421 | Rebekah E Noel | Psychologist | 12012 Wickchester Ln, Suite 550, Houston, TX 77079-1229 | 2007-05-29 |
| 1427259647 | Diana Marie Abraham | Psychologist | 12012 Wickchester Ln, Suite 550, Houston, TX 77079-1229 | 2007-05-29 |
| 1871640136 | Dilnavaz Hoshang Subawalla | Psychologist | 12012 Wickchester Ln, Suite 550, Houston, TX 77079-1229 | 2007-01-05 |
| 1487730107 | Martha Laura M Melendez Pallitto | Psychologist | 12012 Wickchester Ln, Suite 550, Houston, TX 77079-1229 | 2006-10-27 |
| 1578678785 | Jill F Torres | Psychologist | 12012 Wickchester Ln, Suite 550, Houston, TX 77079-1229 | 2006-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982213542 | Apg Ancillaries LLC | Durable Medical Equipment & Medical Supplies | 14811 Saint Marys Ln Ste 152, Houston, TX 77079 | 2020-07-29 |
| 1982244174 | Agatha Nwosu | Registered Nurse | 1155 Dairy Ashford Rd Suite 560, Houston, TX 77079 | 2020-01-15 |
| 1164924650 | Victoria Okon | Licensed Vocational Nurse | 14461 Still Meadow Dr., Houston, TX 77079 | 2018-03-01 |
| 1649711623 | Deon Flenoy | Case Manager/Care Coordinator | 14027 Memorial Dr # 419, Houston, TX 77079 | 2017-03-10 |
| 1396298428 | Supriya Krishnan | Optometrist | 14634 Memorial Dr, Houston, TX 77079 | 2016-07-25 |
| 1942670401 | Medfast Pediatric & Family Clinic | Nurse Practitioner | 14520 Old Katy Rd, St 109, Houston, TX 77079 | 2015-09-28 |
| 1558742106 | Evan Christopher Adams | Dentist | 909 Dairy Ashford Rd Ste 104, Houston, TX 77079 | 2015-06-09 |
| 1114313152 | Yun Li | Internal Medicine | 13140 Trail Hollow Dr, Houston, TX 77079 | 2015-04-07 |
| 1629460308 | Michelle Maligaya | Registered Nurse | 1201 N Dairy Ashford Rd Ste 100, Houston, TX 77079 | 2015-03-04 |
| 1144611989 | Ryan M Keutzer | Hearing Instrument Specialist | 12900 Queensbury Ln #100, Houston, TX 77079 | 2015-02-16 |
| Find all providers in zip 77079 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821627969 | Jannis Faye Moody | Psychologist | 11250 West Rd Ste E, Houston, TX 77065-4439 | 2020-04-01 |
| 1609404771 | La Shaun Arzu Pllc | Psychologist | 8530 S Braeswood Blvd, Houston, TX 77071-1108 | 2020-04-01 |
| 1518590025 | Carla Sharp | Psychologist | Health 2 Building 4849 Calhoun Rd Suite 1001a, Houston, TX 77204-0001 | 2020-02-13 |
| 1295399707 | Mary Cassondra Reissinger | Psychologist | 1502 Taub Loop Ste 4.229, Houston, TX 77030-1608 | 2019-04-30 |
| 1134696826 | Adriane De Freitas Barroso | Psychologist | 7670 Woodway Dr Ste 360, Houston, TX 77063 | 2018-10-31 |
| 1922582741 | Anthony Ecker | Psychologist | 2002 Holcombe Blvd # Nc152, Houston, TX 77030-4211 | 2018-09-18 |
| 1295217503 | New Way Psychological Services, Pllc | Psychologist | 2100 West Loop South Suite 800, Houston, TX 77027 | 2018-09-04 |
| 1750872537 | Rose Haney | Psychologist | 13700 Veterans Memorial Dr # 245, Houston, TX 77014-1026 | 2018-05-28 |
| 1619476017 | Nicole Entrekin | Psychologist | 10411 South Dr, Houston, TX 77099-2876 | 2018-02-12 |
| 1669908398 | Inspirar Counseling Services, Pllc | Psychologist | 4500 Montrose Blvd Ste F, Houston, TX 77006-5842 | 2017-05-01 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.