Individual provider Active NPI

Raymond Henry McCaffrey Jr., PH.D.

  • Psychologist
  • Norman, OK
National Provider Identifier
1184638272
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
510 24TH Ave SW
Norman, OK 73069-5106
Phone
(405) 329-7923
Fax
(405) 329-8815
NPI assigned
Jul 27, 2006
Last updated
Jun 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

510 24TH Ave SW
Norman, OK 73069-5106

Mailing address

510 24TH Ave SW
Norman, OK 73069-5106
Phone (405) 329-7923

Other identifiers 1

IdentifierTypeStateIssuer
100637100CMedicaidOK

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050819000489 OK Practitioner - Clinical Psychologist 9638109580 Practice locations: Norman, OK

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

510 24TH Ave SW
Norman, OK 73069-5106
Phone (405) 329-7923

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Shelli S. Jackson, PHD, PLLC Current Accepting new patients
Good Life Enterprises, Inc. Psychologist Past Accepting new patients

Locations

510 24th Ave SW
Norman, OK 73069
Phone (405) 329-7923

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1184638272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 24TH AVE SW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730695106",
            "telephone_number": "405-329-7923",
            "fax_number": "405-329-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 24TH AVE SW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730695106",
            "telephone_number": "405-329-7923",
            "fax_number": "405-329-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAFFREY",
        "first_name": "RAYMOND",
        "middle_name": "HENRY",
        "name_suffix": "Jr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100637100C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.