Individual provider Active NPI

Aaron Jonathan Scott Orth, PSY.D.

  • Psychologist
  • Broken Arrow, OK
National Provider Identifier
1063091759
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1119 Issued in OK
Practice address
20408 E 44TH St S
Broken Arrow, OK 74014-1591
Phone
(918) 340-4772
NPI assigned
Apr 7, 2021
Last updated
Jul 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1119 OK Primary

Addresses

Primary practice location

20408 E 44TH St S
Broken Arrow, OK 74014-1591

Mailing address

20408 E 44TH St S
Broken Arrow, OK 74014-1591
Phone (918) 340-4772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220829003536 OK Practitioner - Clinical Psychologist 2264816933

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.16 of 100Reported as group
Quality
80.99
Improvement activities
40
Cost
72.05

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1119OKMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1063091759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20408 E 44TH ST S",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740141591",
            "telephone_number": "918-340-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20408 E 44TH ST S",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740141591",
            "telephone_number": "918-340-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTH",
        "first_name": "AARON",
        "middle_name": "JONATHAN SCOTT",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-07",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OK",
            "license": "1119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

Verify at the official NPI Registry.