Individual provider Active NPI

Tyree Donato

  • Behavior Analyst
  • Oklahoma City, OK
National Provider Identifier
1255601373
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
261QM0801X Issued in OK
Practice address
3535 NW 58TH St
Oklahoma City, OK 73112-4804
Phone
(405) 412-4437
NPI assigned
Jan 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 261QM0801X OK Primary

Addresses

Primary practice location

3535 NW 58TH St
Oklahoma City, OK 73112-4804

Mailing address

3535 NW 58TH St
Oklahoma City, OK 73112-4804
Phone (405) 412-4437

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

State licenses

LicenseStateTypeSpecialty
261QM0801XOKMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1255601373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 NW 58TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124804",
            "telephone_number": "405-412-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 NW 58TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124804",
            "telephone_number": "405-412-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONATO",
        "first_name": "TYREE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OK",
            "license": "261QM0801X",
            "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 5, 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.