Timothy Dale Doty, PSYD

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

License

1118 Issued in OK

Practice address

6846 S Canton Ave
#501
Tulsa, OK 74136-3412

Phone

(918) 745-0095

Fax

(918) 745-0190

NPI assigned

Feb 23, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tulsa Professional Psychology, PLLC

  • Health Service Psychologist
  • Tulsa, OK
  • NPI 1629569264

  Clinical

  Medicare reassignment NPD Authorized official
• Christian Family Institute Inc

  • Professional Counselor
  • Tulsa, OK
  • NPI 1013922889
  NPD (past)

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304985600000",
    "number": "1124340732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6846 S CANTON AVE",
            "address_2": "#501",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363412",
            "telephone_number": "918-745-0095",
            "fax_number": "918-745-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6846 S CANTON AVE",
            "address_2": "#501",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363412",
            "telephone_number": "918-745-0095",
            "fax_number": "918-745-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTY",
        "first_name": "TIMOTHY",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-23",
        "last_updated": "2011-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OK",
            "license": "1118",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "OK",
            "license": "1118",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "OK",
            "license": "1118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Morgan Dotson
• Larry Gene Dotson, MS UNDER LPC SUPERVI
• Pleasure Dotson
• Dale R. Doty, PH.D.
• Diana Rose Doty, D.C.
• Benjamin Chipper Doudican
• Ashley Dougherty, LM, CPM
• Megan Page Dougherty
• Douglas Brown MD PC
• Douglas M. Vaughn, D.O., P.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.