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Organization provider

TULSA PROFESSIONAL PSYCHOLOGY, PLLC

Health Service Psychologist Clinical Psychologist Forensic Psychologist Medicare enrolled

TULSA PROFESSIONAL PSYCHOLOGY, PLLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1629569264, based in Tulsa, OK. The organization lists 3 taxonomy classifications, with Health Service Psychologist recorded as primary.

Getting there

The practice address on file is 3144 S WINSTON AVE STE A, Tulsa, OK 74135. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

3144 S WINSTON AVE STE A, Tulsa, OK 74135 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
1225 OK Health Service Psychologist
1225 OK Clinical Psychologist
1118 OK Clinical Psychologist
1118 OK Forensic Psychologist
1118 OK Health Service Psychologist primary

This provider holds licence 1225 issued in OK. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
3971023094
Enrollment ID
O20250219003820

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Health Service covers

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). NUCC Health Care Provider Taxonomy, code 103TH0100X
Behavioral Health & Social Service Providers ›Psychologist ›Health Service

All registered taxonomy codes

This provider registers 5 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
103TH0100X Health Service Psychologist Health Service 1225 OK
103TC0700X Clinical Psychologist Clinical 1225 OK
103TC0700X Clinical Psychologist Clinical 1118 OK
103TF0200X Forensic Psychologist Forensic 1118 OK
103TH0100X Health Service Psychologist Health Service 1118 OK primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1629569264 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateMay 18, 2018
Last updatedMay 18, 2018
StatusActive
Practice address 3144 S WINSTON AVE STE A
Tulsa, OK 74135
(918) 878-8072
Fax (918) 878-8072
Mailing address 1745 S CANTON AVE
Tulsa, OK 74112
Other names Green Country Psychology Former Legal Name
Other identifiers 200460890B · Medicaid (OK)
200466160A · Medicaid (OK)
This record was last updated on May 18, 2018, roughly 8 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1629569264 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 2 9 5 6 9 2 6
Doubled? — ×2 — ×2 — ×2 — ×2 — ×2 — ×2 — ×2
Value 8 0 8 8 0 2 6 4 9 1 6 9 2 3

Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1629569264?
NPI 1629569264 is the National Provider Identifier assigned to TULSA PROFESSIONAL PSYCHOLOGY, PLLC in Tulsa, OK. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Health Service cover?
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high…
How do I contact TULSA PROFESSIONAL PSYCHOLOGY, PLLC?
The phone number on file with NPPES is (918) 878-8072, last updated May 18, 2018. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does TULSA PROFESSIONAL PSYCHOLOGY, PLLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1629569264 a valid number?
Yes. 1629569264 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.