NPIMap

Organization Active NPI

Jonathan D Cargill, PHD, Inc

  • Clinical Psychologist
  • Shawnee, OK
National Provider Identifier
1003092479
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
300 Issued in OK
Legal business name
JONATHAN D CARGILL, PHD, INC
Practice address
23 E 9TH St
Suite 311
Shawnee, OK 74801-6943
Phone
(405) 275-6701
Fax
(405) 598-3668
NPI assigned
Jan 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jonathan Dale Cargill, PHD
Title
President
Phone
(405) 598-3668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 300 OK Primary

Addresses

Primary practice location

23 E 9TH St
Suite 311
Shawnee, OK 74801-6943

Mailing address

PO Box 114
Tecumseh, OK 74873-0114
Phone (405) 598-3668

National Provider Directory

National Provider Directory

Locations

23 E 9th St
Ste 311
Shawnee, OK 74801
Phone (405) 275-6701

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1003092479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 114",
            "city": "TECUMSEH",
            "state": "OK",
            "postal_code": "748730114",
            "telephone_number": "405-598-3668",
            "fax_number": "405-598-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 E 9TH ST",
            "address_2": "SUITE 311",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748016943",
            "telephone_number": "405-275-6701",
            "fax_number": "405-598-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN D CARGILL, PHD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "CARGILL",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-598-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OK",
            "license": "300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.