Active NPI
Peter Charles Ciali, PH.D.
- Clinical Psychologist
- Tulsa, OK
National Provider Identifier
1023104262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1091
- Practice address
- 10159 E 11TH St
Suite 100
Tulsa, OK 74128-3058 - Phone
- (918) 610-2000
- Fax
- (918) 835-5760
- NPI assigned
- Oct 5, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1091 | OK | Primary |
| Professional Counselor | 101YP2500X | 3091LPC | OK |
Addresses
Primary practice location
10159 E 11TH St
Suite 100
Tulsa, OK 74128-3058
Mailing address
10159 E 11TH St
Suite 100
Tulsa, OK 74128-3058
Phone (918) 610-2000
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 |
|---|---|---|---|
| 3091LPC | OK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251244800000",
"number": "1023104262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10159 E 11TH ST",
"address_2": "SUITE 100",
"city": "TULSA",
"state": "OK",
"postal_code": "741283058",
"telephone_number": "918-610-2000",
"fax_number": "918-835-5760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10159 E 11TH ST",
"address_2": "SUITE 100",
"city": "TULSA",
"state": "OK",
"postal_code": "741283058",
"telephone_number": "918-610-2000",
"fax_number": "918-835-5760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIALI",
"first_name": "PETER",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2009-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OK",
"license": "1091",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "3091LPC",
"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 Aug 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.