Individual provider Active NPI

Rebecca Lynn Nicholas, PSYCHOLOGIST, ED.D.

  • Psychologist
  • Tulsa, OK
National Provider Identifier
1194718809
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
547 Issued in OK
Practice address
2526 E 71St St
Suite D
Tulsa, OK 74136-5538
Phone
(918) 230-3742
Fax
(918) 493-6381
NPI assigned
Aug 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 547 OK Primary

Addresses

Primary practice location

2526 E 71St St
Suite D
Tulsa, OK 74136-5538

Mailing address

2526 E 71St St
Suite D
Tulsa, OK 74136-5538
Phone (918) 230-3742

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
I20170418002744 OK Practitioner - Clinical Psychologist 1254610256 Practice locations: Tulsa, OK

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2526 E 71St Street D
Tulsa, OK 74136-5576

7908 S Richmond Ave
Tulsa, OK 74136-8168
Phone (918) 230-3742

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
547OKMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1125100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1194718809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2526 E 71ST ST",
            "address_2": "SUITE D",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741365538",
            "telephone_number": "918-230-3742",
            "fax_number": "918-493-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2526 E 71ST ST",
            "address_2": "SUITE D",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741365538",
            "telephone_number": "918-230-3742",
            "fax_number": "918-493-6381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PSYCHOLOGIST, ED.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OK",
            "license": "547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.