Extending Creative Minds
NPI 1417301763 · Family Medicine Physician · Houston, TX
Extending Creative Minds is a Family Medicine Physician organization in Houston, TX (NPI 1417301763).
Provider details
- NPI number
- 1417301763
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lakisha Dickerson, Chief Executive Officer(832) 506-8121
- License
- 57323 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Pharmacy Service Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-04-22
- Last updated
- 2017-05-30
Frequently asked questions
- What is Extending Creative Minds's NPI number?
- Extending Creative Minds's National Provider Identifier (NPI) is 1417301763, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Extending Creative Minds?
- Extending Creative Minds is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Extending Creative Minds located?
- Extending Creative Minds's practice location on file with NPPES is 10311 Homestead Rd, Houston, TX 77016-3305.
- What is Extending Creative Minds's phone number?
- The practice phone number listed in the NPPES registry for Extending Creative Minds is (832) 506-8121.
- Who is the authorized official for Extending Creative Minds?
- The authorized official listed on Extending Creative Minds's NPPES record is Lakisha Dickerson, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Extending Creative Minds's NPI active?
- Yes — Extending Creative Minds's NPI (1417301763) is active in the NPPES registry as of the last update on 2017-05-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.