Psychological Services of Tulsa, LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

913 Issued in OK

Legal business name

PSYCHOLOGICAL SERVICES OF TULSA, LLC

Practice address

7020 S Yale Ave
Suite 220
Tulsa, OK 74136-5715

Phone

(918) 492-2480

Fax

(918) 477-9446

NPI assigned

Sep 29, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Brian Snider, PH.D.

Title

Owner/Member

Phone

(918) 492-2480

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1093118408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7020 S YALE AVE",
            "address_2": "SUITE 220",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741365715",
            "telephone_number": "918-492-2480",
            "fax_number": "918-477-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7020 S YALE AVE",
            "address_2": "SUITE 220",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741365715",
            "telephone_number": "918-492-2480",
            "fax_number": "918-477-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL SERVICES OF TULSA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "SNIDER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "918-492-2480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "OK",
            "license": "913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100851550A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• PSS,LLC
• Psych Nerds, LLC
• Psychiatric Services, Inc.
• Psychiatry of Tulsa, P.C.
• Psychological Assessment Advocacy and Treatment Center for Children
• Psychotherapy Solutions of Tulsa LLC
• Alec Dalton-Shea Puckett
• Andrew Dawson Puckett
• Annajo N Puckett, LPC CANDIDATE
• Donna Carole Puckett, MD

• Counseling Psychologist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Counseling Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.