Individual provider Active NPI

Manju Kaul, PHD

  • Clinical Psychologist
  • Tulsa, OK
National Provider Identifier
1205821022
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
857 Issued in OK
Practice address
3015 E Skelly Dr
Suite 135
Tulsa, OK 74105-6317
Phone
(918) 712-2885
Fax
(918) 712-9019
NPI assigned
Sep 19, 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
Clinical Psychologist 103TC0700X 857 OK Primary

Addresses

Primary practice location

3015 E Skelly Dr
Suite 135
Tulsa, OK 74105-6317

Mailing address

3015 E Skelly Dr
Suite 135
Tulsa, OK 74105-6317
Phone (918) 712-2885

Other identifiers 2

IdentifierTypeStateIssuer
100838250AMedicaidOK
680013158OtherRR MEDICARE

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
I20100927000817 OK Practitioner - Clinical Psychologist 8729104849 Practice locations: Tulsa, OK

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5512 S Lewis Ave
Suite 8
Tulsa, OK 74105-7140
Phone (918) 712-9004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
857OKMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1205821022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 E SKELLY DR",
            "address_2": "SUITE 135",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056317",
            "telephone_number": "918-712-2885",
            "fax_number": "918-712-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 E SKELLY DR",
            "address_2": "SUITE 135",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056317",
            "telephone_number": "918-712-2885",
            "fax_number": "918-712-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUL",
        "first_name": "MANJU",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OK",
            "license": "857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100838250A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "680013158",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.