Marci M. Leveridge, PH.D., PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

851 Issued in OK

Legal business name

MARCI M. LEVERIDGE, PH.D., PC

Practice address

3441 W Memorial Rd
Suite 5
Oklahoma City, OK 73134-7000

Phone

(405) 749-8559

Fax

(405) 749-8560

NPI assigned

Nov 15, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Marci Leveridge, PH.D.

Title

Director

Phone

(405) 749-8559

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1164709408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3441 W MEMORIAL RD",
            "address_2": "SUITE 5",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731347000",
            "telephone_number": "405-749-8559",
            "fax_number": "405-749-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3441 W MEMORIAL RD",
            "address_2": "SUITE 5",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731347000",
            "telephone_number": "405-749-8559",
            "fax_number": "405-749-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCI M. LEVERIDGE, PH.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-15",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "LEVERIDGE",
        "authorized_official_first_name": "MARCI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "405-749-8559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "OK",
            "license": "851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.

Verify at the official NPI Registry.