Individual provider Active NPI

Kathryn Anne Lafortune, J.D., PH.D.

  • Forensic Psychologist
  • Tulsa, OK
National Provider Identifier
1265976815
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
License
841 Issued in OK
Practice address
3120 S Birmingham Ave
Tulsa, OK 74105-2324
Phone
(918) 770-3962
NPI assigned
Dec 15, 2016
Last updated
Dec 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 841 OK
Clinical Psychologist 103TC0700X 841 OK
Forensic Psychologist 103TF0200X 841 OK Primary

Addresses

Primary practice location

3120 S Birmingham Ave
Tulsa, OK 74105-2324

Mailing address

3120 S Birmingham Ave
Tulsa, OK 74105-2324
Phone (918) 770-3962

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
Juris Doctor, Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481760000000",
    "number": "1265976815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 S BIRMINGHAM AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741052324",
            "telephone_number": "918-770-3962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 S BIRMINGHAM AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741052324",
            "telephone_number": "918-770-3962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFORTUNE",
        "first_name": "KATHRYN",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "J.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-15",
        "last_updated": "2016-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "OK",
            "license": "841",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OK",
            "license": "841",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "OK",
            "license": "841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.