Individual provider Active NPI

Edith A. Lamay, MS

  • Clinical Child & Adolescent Psychologist
  • Tulsa, OK
National Provider Identifier
1215209606
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Practice address
5110 S Yale Ave
Ste 103
Tulsa, OK 74135-7401
Phone
(918) 779-7637
Fax
(918) 938-6037
NPI assigned
Feb 1, 2012
Last updated
Feb 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X OK Primary

Addresses

Primary practice location

5110 S Yale Ave
Ste 103
Tulsa, OK 74135-7401

Mailing address

5110 S Yale Ave Ste 103
Tulsa, OK 74135-7455
Phone (918) 779-7637

Other identifiers 1

IdentifierTypeStateIssuer
113796324MedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1215209606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 S YALE AVE STE 103",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741357455",
            "telephone_number": "918-779-7637",
            "fax_number": "918-938-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 S YALE AVE",
            "address_2": "STE 103",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741357401",
            "telephone_number": "918-779-7637",
            "fax_number": "918-938-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMAY",
        "first_name": "EDITH",
        "middle_name": "A.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113796324",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.