Active NPI
Vincent a Glass Psy D Inc P C
- Clinical Psychologist
- Yukon, OK
National Provider Identifier
1205035458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 765
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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 DirectoryLocations
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.
-
- Clinical Psychologist
- Yukon, OK
- NPI 1912941535
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.