Active NPI
William B. Berman, PH.D.
- Psychologist
- Tulsa, OK
National Provider Identifier
1023024247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 321
- Practice address
- 6846 S Canton Ave Ste 501
Tulsa, OK 74136-3431 - Phone
- (918) 745-0095
- Fax
- (918) 745-0190
- NPI assigned
- Jul 31, 2006
- Last updated
- Sep 14, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 321 | OK | Primary |
| Family Psychologist | 103TF0000X | 68 | OK | |
| Forensic Psychologist | 103TF0200X | 321 | OK | |
| Marriage & Family Therapist | 106H00000X | LMFT | OK |
Addresses
Primary practice location
6846 S Canton Ave Ste 501
Tulsa, OK 74136-3431
Mailing address
6846 S Canton Ave
Suite 501
Tulsa, OK 74136-3412
Phone (918) 745-0095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT | OK | MD | Marriage & Family Therapist |
| 68 | OK | MD | Occupational Therapist |
| 321 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christian Family Institute Inc | Current | Accepting new patients | |
| Jeffrey K McIlroy MD Inc | Past | Accepting new patients |
Locations
6846 S Canton Ave
Ste 501
Tulsa, OK 74136
Phone (918) 745-0095
6846 S Canton Ave
Ste 600
Tulsa, OK 74136
Phone (918) 745-0095
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1053531830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536883200000",
"number": "1023024247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6846 S CANTON AVE",
"address_2": "SUITE 501",
"city": "TULSA",
"state": "OK",
"postal_code": "741363412",
"telephone_number": "918-745-0095",
"fax_number": "918-745-0190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6846 S CANTON AVE STE 501",
"city": "TULSA",
"state": "OK",
"postal_code": "741363431",
"telephone_number": "918-745-0095",
"fax_number": "918-745-0190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERMAN",
"first_name": "WILLIAM",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2018-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OK",
"license": "321",
"primary": true
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "OK",
"license": "68",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "OK",
"license": "321",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OK",
"license": "LMFT",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.