Individual provider Active NPI

Anna Kjose, PH.D.

  • Psychologist
  • Norman, OK
National Provider Identifier
1265855498
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1371 Issued in OK
Practice address
3351 W Rock Creek Rd Ste 120
Norman, OK 73072-2463
Phone
(405) 801-2840
NPI assigned
Jan 23, 2014
Last updated
Jun 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Psychologist 103T00000X 1371 OK Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

3351 W Rock Creek Rd Ste 120
Norman, OK 73072-2463

Mailing address

2301 NW 187TH Ter
Edmond, OK 73012-7688
Phone (636) 795-5480

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1371OKMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Anna Kjose, PHD, PLLC Community/Behavioral Health CurrentSince Jun 16, 2024 Accepting new patients
Commander Counseling and Wellness Current Accepting new patients
Cody Commander PSYD PLLC Past Accepting new patients
Oasis Counseling Center,Inc. Community/Behavioral Health PastSince Apr 12, 2016 Accepting new patients

Locations

3351 W Rock Creek Rd
Ste 120
Norman, OK 73072
Phone (405) 314-0953

3035 NW 63rd St
Ste 227
Oklahoma City, OK 73116
Phone (405) 242-6460

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1265855498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 NW 187TH TER",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730127688",
            "telephone_number": "636-795-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 W ROCK CREEK RD STE 120",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730722463",
            "telephone_number": "405-801-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KJOSE",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-23",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OK",
            "license": "1371",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Jun 14, 2024; 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.