Organization Active NPI

Gloria L. So-Lloyd, PH.D., P.C.

  • Clinical Psychologist
  • Edmond, OK
National Provider Identifier
1023274909
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1007 Issued in OK
Legal business name
GLORIA L. SO-LLOYD, PH.D., P.C.
Practice address
849 E 33Rd St
Edmond, OK 73013-5407
Phone
(405) 888-5299
NPI assigned
Jul 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Authorized official

Name
Dr. Gloria L So-Lloyd, PH.D.NPI 1922036037
Title
President
Phone
(405) 888-5299

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 1007 OK Primary

Addresses

Primary practice location

849 E 33Rd St
Edmond, OK 73013-5407

Mailing address

849 E 33Rd St
Edmond, OK 73013-5407
Phone (405) 888-5299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140204000160 OK Part B Supplier - Clinic/Group Practice 4486883907 Receives reassigned benefits from 1 practitioner
Practice locations: Edmond, OK

National Provider Directory

National Provider Directory

Locations

501 E 15th St
Ste 500A
Edmond, OK 73013
Phone (405) 343-2516

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1023274909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 E 33RD ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135407",
            "telephone_number": "405-888-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 E 33RD ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135407",
            "telephone_number": "405-888-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIA L. SO-LLOYD, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "SO-LLOYD",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-888-5299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OK",
            "license": "1007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.