Individual provider Active NPI

Emily Rebekah Corley, PH.D., B.A., M.S.

  • Clinical Psychologist
  • Norman, OK
National Provider Identifier
1265836282
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1322 Issued in OK
Practice address
2405 Palmer Cir Ste 100
Norman, OK 73069-6351
Phone
(405) 561-7928
Fax
(405) 310-9944
NPI assigned
Oct 20, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 1322 OK Primary

Addresses

Primary practice location

2405 Palmer Cir Ste 100
Norman, OK 73069-6351

Mailing address

2405 Palmer Cir Ste 100
Norman, OK 73069-6351
Phone (405) 561-7928

Other identifiers 1

IdentifierTypeStateIssuer
200801350AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181128001756 OK Practitioner - Clinical Psychologist 7719221092 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts, Master of Science, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Oct 12, 2018 Accepting new patients
Unique Minds Psychology LLC Current Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians Multi-Specialty CurrentSince Oct 12, 2018 Accepting new patients

Locations

1301 Magnolia Ct
Ste 119
Moore, OK 73160
Phone (405) 215-9302

825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864

1200 Childrens Ave
Ste 9A
Oklahoma City, OK 73104
Phone (405) 271-2234

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1265836282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 PALMER CIR STE 100",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696351",
            "telephone_number": "405-561-7928",
            "fax_number": "405-310-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 PALMER CIR STE 100",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696351",
            "telephone_number": "405-561-7928",
            "fax_number": "405-310-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORLEY",
        "first_name": "EMILY",
        "middle_name": "REBEKAH",
        "name_prefix": "Ms.",
        "credential": "PH.D., B.A., M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-20",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OK",
            "license": "1322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200801350A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.