Green Country Psychology
LBN: Tulsa Professional Psychology, Pllc
Green Country Psychology is an health care organization with primary practice located at 3144 S Winston Ave Ste A , Tulsa OK 74135-2012. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Health Service is the primary health care specialty.
Tulsa Professional Psychology, Pllc can be contacted via phone (918) 878-8072, or through Doty, Timothy via phone (918) 878-8072.
Contact Information
Primary practice address
3144 S Winston Ave Ste A
Tulsa OK 74135-2012
Phone: (918) 878-8072
Fax: (918) 878-8072
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1225 | Oklahoma |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1118 | Oklahoma |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 1118 | Oklahoma |
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | 1225 | Oklahoma |
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | 1118 | Oklahoma |
Profile Details
| NPI number | 1629569264 |
|---|---|
| LBN Legal business name | Tulsa Professional Psychology, Pllc |
| DBA Doing business as | Green Country Psychology |
| Authorized official | Doty, Timothy PSY.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 18th, 2018 |
| Last updated | May 18th, 2018 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629569264 | NPPES |
| Oklahoma | MEDICAID | 200460890B | |
| Oklahoma | MEDICAID | 200466160A |
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