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Deactivated NPI 1417015819 Deactivated / Inactive NPI Female Practitioner

Dr. Vicki M Soukup , PhD

Psychologist • Galveston, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Vicki Soukup has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 05, 2006
NPI Deactivation Date June 16, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Vicki Soukup, PhD was a registered Psychologist practicing in Galveston, TX. Throughout an active medical career spanning 15 years, Dr. Soukup provided care at the practice location at 301 UNIVERSITY BLVD until profile deactivation on 2021-06-16.

Practice Location & Contact Primary Location

Practice Address

301 University Blvd

Galveston, TX 775551022

Telephone 4097720848
Fax 4097720885
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Galveston, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
11 Specialists

Practicing in Galveston, TX (2266 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License TX 25037

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Honey Doctolero , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003976168

Certified Registered Nurse Anesthetist

NPI 1013075662

Doctor of Philosophy (Ph.D.)

Dr. Landon Stout , MD

Pathology - Anatomic Pathology

NPI 1013088368

Doctor of Medicine (M.D.)

Dr. Stephen Pustilnik , MD

Pathology - Anatomic Pathology

NPI 1033280375

Doctor of Medicine (M.D.)

Mark Talon , CRNA

Nurse Anesthetist, Certified Registered

NPI 1043370588

Certified Registered Nurse Anesthetist

Dr. Michael Oboyle , MD

Psychiatry & Neurology - Psychiatry

NPI 1043378581

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 16, 2021

Record deactivated on June 16, 2021

NPI Profile Active July 16, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 16, 2007

Registered at 301 UNIVERSITY BLVD, GALVESTON, TX 775551022 (Tel: 4097720848)

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Updated Business Mailing Address July 16, 2007

Registered at 301 UNIVERSITY BLVD, GALVESTON, TX 775551022 (Tel: 4097720848)

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Provider Name / Credentials Updated July 16, 2007

Recorded as VICKI SOUKUP, PHD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2007

Psychologist (License #25037 in TX)

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Initial NPI Registration & Enumeration December 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417015819
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 05, 2006
Last Update: July 16, 2007
Deactivation Date: June 16, 2021

Mailing Address

301 University Blvd

Galveston, TX 775551022

Phone: 4097720848

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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