Sydney Pruett, MCP, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

604 S Walnut St
Stillwater, OK 74074-4222

Phone

(220) 240-5372

Fax

(405) 445-3780

NPI assigned

Aug 25, 2017

Last updated

Jan 14, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sydney Greenwood Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Preferred Family Healthcare, Inc.

  dba Clarity Healthcare

  • Federally Qualified Health Center (FQHC)
  • Hannibal, MO
  • NPI 1306721709
  NPD (past)

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1033636428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 S WALNUT ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744222",
            "telephone_number": "220-240-5372",
            "fax_number": "405-445-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S WALNUT ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744222",
            "telephone_number": "220-240-5372",
            "fax_number": "405-445-3780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 E Hartford Ave",
            "address_purpose": "LOCATION",
            "city": "Ponca City",
            "state": "OK",
            "postal_code": "746012006",
            "country_code": "US",
            "telephone_number": "918-712-0859",
            "fax_number": "918-388-9708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRUETT",
        "first_name": "SYDNEY",
        "credential": "MCP, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-25",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200323940",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYDNEY",
            "last_name": "GREENWOOD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Preferred Family Healthcare, Inc. (Dayspring Community Services)
• Premise Health of Oklahoma Medical, P.C (Employees' Healthcare Center of Stillwater)
• Sophia Elizabeth Price
• Charlena Priddy, MS
• Madelyn Priest, MS, CCC-SLP
• Christopher Allen Puckett, M.D.
• Katelynn Puckett
• Courtney Anne Putnam, ATC, LAT
• Madison Pyle, CCC-SLP
• Emma Rackley, LPC

• Mental Health Counselor in Stillwater, OK
• Providers in Stillwater, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.