Individual provider Active NPI

Amy Christine Mayberry, PSYD

  • Clinical Psychologist
  • Oklahoma City, OK
National Provider Identifier
1104785344
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1023 Issued in OK
Practice address
6125 W Reno Ave Ste 900
Oklahoma City, OK 73127-6552
Phone
(405) 422-2402
Fax
(405) 422-2802
NPI assigned
Jan 21, 2026
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1023OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alden Clinic Evaluation Services PLLC PastSince Feb 8, 2023 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1023 OK Primary

Addresses

NPPES NPI Registry

Primary practice location

6125 W Reno Ave Ste 900
Oklahoma City, OK 73127-6552

Mailing address

13532 Oak Hill Dr
Piedmont, OK 73078-9012
Phone (405) 422-2402

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 21, 2026.

{
    "created_epoch": "1768953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1104785344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13532 OAK HILL DR",
            "city": "PIEDMONT",
            "state": "OK",
            "postal_code": "730789012",
            "telephone_number": "405-422-2402",
            "fax_number": "405-422-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6125 W RENO AVE STE 900",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731276552",
            "telephone_number": "405-422-2402",
            "fax_number": "405-422-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYBERRY",
        "first_name": "AMY",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-21",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OK",
            "license": "1023",
            "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 Jan 21, 2026; 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.