Individual provider Active NPI

William B. Berman, PH.D.

  • Psychologist
  • Tulsa, OK
National Provider Identifier
1023024247
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
321 Issued in OK
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
LMFTOKMDMarriage & Family Therapist
68OKMDOccupational Therapist
321OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.