Derivative Psychiatry, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

DERIVATIVE PSYCHIATRY, PLLC

Practice address

3750 W Main St Ste Aa
Norman, OK 73072-4645

Phone

(405) 928-9438

NPI assigned

Jul 17, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Jake Henry Johnson, MDNPI 1730801416

Title

Ceo & Founder

Phone

(480) 290-4385

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jake Henry Johnson, MD

  • Psychiatry Physician
  • Norman, OK
  • NPI 1730801416
  NPD Authorized official

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1194617795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 W MAIN ST STE AA",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730724645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 W MAIN ST STE AA",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730724645",
            "telephone_number": "405-928-9438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERIVATIVE PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JAKE",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "CEO & FOUNDER",
        "authorized_official_telephone_number": "480-290-4385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Norman, OK
• Providers in Norman, OK by specialty
• Psychiatry Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.