Organization Active NPI

Glenna Stumblingbear-Riddle, PH.D., PLLC

  • Community/Behavioral Health Agency
  • Norman, OK
National Provider Identifier
1255604872
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1138 Issued in OK
Legal business name
GLENNA STUMBLINGBEAR-RIDDLE, PH.D., PLLC
Practice address
1225 W Main St
102
Norman, OK 73069-6824
Phone
(405) 292-1000
Fax
(405) 801-2506
NPI assigned
Feb 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Authorized official

Name
Dr. Glenna Stumblingbear-Riddle, PH.D.
Title
Owner/Psychologist
Phone
(405) 292-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1138 OK Primary

Addresses

Primary practice location

1225 W Main St
102
Norman, OK 73069-6824

Mailing address

1225 W Main St
102
Norman, OK 73069-6824
Phone (405) 292-1000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1255604872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 W MAIN ST",
            "address_2": "102",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696824",
            "telephone_number": "405-292-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 W MAIN ST",
            "address_2": "102",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696824",
            "telephone_number": "405-292-1000",
            "fax_number": "405-801-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENNA STUMBLINGBEAR-RIDDLE, PH.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "STUMBLINGBEAR-RIDDLE",
        "authorized_official_first_name": "GLENNA",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "405-292-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "1138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.