Organization Active NPI

Vincent a Glass Psy D Inc P C

  • Clinical Psychologist
  • Yukon, OK
National Provider Identifier
1205035458
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
765 Issued in OK
Legal business name
VINCENT A GLASS PSY D INC P C
Practice address
3201 N Mustang Rd Ste a
Yukon, OK 73099-3399
Phone
(405) 354-5777
Fax
(405) 324-9512
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Authorized official

Name
Dr. Vincent Arthur Glass, PSY.D.NPI 1912941535
Title
President
Phone
(405) 354-5777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 765 OK Primary

Addresses

Primary practice location

3201 N Mustang Rd Ste a
Yukon, OK 73099-3399

Mailing address

3201 N Mustang Rd Ste a
Yukon, OK 73099-3399
Phone (405) 354-5777

National Provider Directory

National Provider Directory

Locations

3201 N Mustang Rd
Ste A
Yukon, OK 73099
Phone (405) 265-0968

373 S Yukon Pkwy
Ste D
Yukon, OK 73099
Phone (405) 354-5777

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1205035458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 N MUSTANG RD STE A",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730993399",
            "telephone_number": "405-354-5777",
            "fax_number": "405-324-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 N MUSTANG RD STE A",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730993399",
            "telephone_number": "405-354-5777",
            "fax_number": "405-324-9512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT A GLASS PSY D INC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-354-5777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OK",
            "license": "765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.