Dr. Alice Wellington, PH.D., PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

610 Issued in OK

Legal business name

DR. ALICE WELLINGTON, PH.D., PLLC

Practice address

119 S Broadway
Edmond, OK 73034-3843

Phone

(405) 474-4151

Fax

(405) 330-2938

NPI assigned

Nov 7, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Alice Janine Wellington, PH.D.

Title

Clinical Psychologist

Phone

(405) 474-4151

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1235568411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 S BROADWAY",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343843",
            "telephone_number": "405-474-4151",
            "fax_number": "405-330-2938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S BROADWAY",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343843",
            "telephone_number": "405-474-4151",
            "fax_number": "405-330-2938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ALICE WELLINGTON, PH.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-07",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "WELLINGTON",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "JANINE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "405-474-4151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OK",
            "license": "610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Edmond, OK
• Providers in Edmond, OK by specialty
• Clinical Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.