Active NPI
Darline Thorson, PHD
- Clinical Psychologist
- Norman, OK
National Provider Identifier
1083657274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 964
- Practice address
- 1800 N Interstate Dr Ste 111
Norman, OK 73072-2995 - Phone
- (405) 290-1411
- Fax
- (405) 290-1450
- NPI assigned
- Jun 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 964 | OK | Primary |
Addresses
Primary practice location
1800 N Interstate Dr Ste 111
Norman, OK 73072-2995
Mailing address
PO Box 721591
Norman, OK 73070-8222
Phone (405) 243-6770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200022290 | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 964 | OK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thorson PHD PC | Past | Accepting new patients | |
| Millennium Medical Services, L.L.C. | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychologist
- Norman, OK
- NPI 1225323058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316390400000",
"number": "1083657274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 721591",
"city": "NORMAN",
"state": "OK",
"postal_code": "730708222",
"telephone_number": "405-243-6770",
"fax_number": "405-290-1450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 N INTERSTATE DR STE 111",
"city": "NORMAN",
"state": "OK",
"postal_code": "730722995",
"telephone_number": "405-290-1411",
"fax_number": "405-290-1450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORSON",
"first_name": "DARLINE",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2011-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OK",
"license": "964",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200022290",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.