Melissa N Van Kirk, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1140 Issued in OK

Practice address

807 S Pine St
Stillwater, OK 74074-4350

Phone

(405) 533-1141

Fax

(405) 338-7999

NPI assigned

Oct 6, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jason K. White, PH.D., LLC

  • Counseling Psychologist
  • Stillwater, OK
  • NPI 1366090680
  NPD

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1053309708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 S PINE ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744350",
            "telephone_number": "405-533-1141",
            "fax_number": "405-338-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 S PINE ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744350",
            "telephone_number": "405-533-1141",
            "fax_number": "405-338-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN KIRK",
        "first_name": "MELISSA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OK",
            "license": "1140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya Rene Tyner
• Deanna Glennette Ukena, L.P.C.
• Sharkista Nashaun Upshaw
• Melissa Jo Utley, MS
• Madisson Valdez
• Michael Van Leer
• John Van Manen
• Candace Casay Vann
• Ariel Vaughan, LPC CANDIDATE
• Jerrod Lee Vaughn, M.D.

• Clinical Psychologist in Stillwater, OK
• Providers in Stillwater, OK by specialty
• Clinical Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.