Organization Active NPI

Kimberley Pittman, PLLC

  • Psychologist
  • Oklahoma City, OK
National Provider Identifier
1174169361
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
KIMBERLEY PITTMAN, PLLC
Practice address
3035 NW 63Rd St Ste 227
Oklahoma City, OK 73116-3631
Phone
(405) 243-6460
Fax
(405) 212-4463
NPI assigned
Nov 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Authorized official

Name
Cheslea Jackson
Title
Office Manager
Phone
(405) 242-6460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

3035 NW 63Rd St Ste 227
Oklahoma City, OK 73116-3631

Mailing address

3035 NW 63Rd St Ste 227
Oklahoma City, OK 73116-3631
Phone (405) 243-6460

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1174169361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 NW 63RD ST STE 227",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731163631",
            "telephone_number": "405-243-6460",
            "fax_number": "405-212-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 NW 63RD ST STE 227",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731163631",
            "telephone_number": "405-243-6460",
            "fax_number": "405-212-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLEY PITTMAN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "CHESLEA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "405-242-6460"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "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 Nov 21, 2019; 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.