Active NPI
Mickey Ozolins
- Clinical Neuropsychologist
- Oklahoma City, OK
National Provider Identifier
1225140346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 503
- Practice address
- 4120 W Memorial Rd Ste 202
Oklahoma City, OK 73120-9322 - Phone
- (405) 749-2870
- Fax
- (405) 749-2858
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 503 | OK | Primary |
Addresses
Primary practice location
4120 W Memorial Rd Ste 202
Oklahoma City, OK 73120-9322
Mailing address
4120 W Memorial Rd Ste 202
Oklahoma City, OK 73120-9322
Phone (405) 749-2870
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 503 | OK | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuropsychology Associates | Clinical Neuropsychologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Neuropsychologist
- Oklahoma City, OK
- NPI 1598957938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200009600000",
"number": "1225140346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4120 W MEMORIAL RD STE 202",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731209322",
"telephone_number": "405-749-2870",
"fax_number": "405-749-2858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4120 W MEMORIAL RD STE 202",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731209322",
"telephone_number": "405-749-2870",
"fax_number": "405-749-2858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OZOLINS",
"first_name": "MICKEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2008-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "OK",
"license": "503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.