NPIMap

Organization Active NPI

Karen Y Tyndall PH D P C

  • Psychologist
  • Oklahoma City, OK
National Provider Identifier
1073675211
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
719 Issued in OK
Legal business name
KAREN Y TYNDALL PH D P C
Practice address
3400 NW Expressway St
Suite 312
Oklahoma City, OK 73112-4493
Phone
(405) 945-4999
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Karen Y Tyndall, PH DNPI 1669409272
Title
President
Phone
(405) 945-4999

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103G00000X 719 OK
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X 719 OK Primary

Addresses

Primary practice location

3400 NW Expressway St
Suite 312
Oklahoma City, OK 73112-4493

Mailing address

PO Box 7512
Edmond, OK 73083-7512
Phone (405) 945-4999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071203000577 OK Part B Supplier - Clinic/Group Practice 6305935073 Receives reassigned benefits from 1 practitioner
Practice locations: Norman, OK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1073675211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7512",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730837512",
            "telephone_number": "405-945-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 NW EXPRESSWAY ST",
            "address_2": "SUITE 312",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124493",
            "telephone_number": "405-945-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN Y TYNDALL PH D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "TYNDALL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-945-4999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH D"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "OK",
            "license": "719",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "OK",
            "license": "719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.