Individual provider Active NPI

Melanie Erica McQuiddy

  • Psychologist
  • Tulsa, OK
National Provider Identifier
1164716965
Registry record updated Feb 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1196 Issued in OK
Practice address
5800 E Skelly Dr Ste 1111
Tulsa, OK 74135
Phone
(918) 631-7581
Fax
(918) 209-5538
NPI assigned
Jun 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1196 OK Primary

Addresses

Primary practice location

5800 E Skelly Dr Ste 1111
Tulsa, OK 74135

Mailing address

5800 E Skelly Dr Ste 1111
Tulsa, OK 74135-6448
Phone (918) 631-7581

Other practice location 1

7717 S Mingo Rd
Apt 1021
Tulsa, OK 74133-3327
Phone (417) 926-8983

Other practice location 2

7717 S Mingo Rd
Apt 1021
Tulsa, OK 74133-3327
Phone (417) 926-8983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20240401001261 TX Practitioner - Clinical Psychologist 5991143604 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1196OKMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation CurrentSince Mar 5, 2024 Accepting new patients
Cherokee Nation CurrentSince Mar 5, 2024 Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation Current Accepting new patients
Cassandra Neuhaus, PSYD, PLLC Psychologist PastSince Aug 1, 2020 Accepting new patients
Erica McQuiddy Pysd Psychologist Past Accepting new patients

Locations

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550361600000",
    "number": "1164716965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 E SKELLY DR STE 1111",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356448",
            "telephone_number": "918-631-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 E SKELLY DR STE 1111",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74135",
            "telephone_number": "918-631-7581",
            "fax_number": "918-209-5538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7717 S Mingo Rd",
            "address_2": "Apt 1021",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741333327",
            "country_code": "US",
            "telephone_number": "417-926-8983",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7717 S Mingo Rd",
            "address_2": "Apt 1021",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741333327",
            "country_code": "US",
            "telephone_number": "417-926-8983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCQUIDDY",
        "first_name": "MELANIE",
        "middle_name": "ERICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-09",
        "last_updated": "2019-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OK",
            "license": "1196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.