Autumn Slaughter, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1439 Issued in OK

Practice address

24800 S 4420 Rd
Vinita, OK 74301-5544

Phone

(918) 256-7841

NPI assigned

Oct 18, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Oklahoma Forensic Center

  • Psychiatric Hospital
  • Vinita, OK
  • NPI 1437364080
  NPD (past)

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1285416792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14502 E 110TH ST N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740555998",
            "telephone_number": "903-243-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24800 S 4420 RD",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743015544",
            "telephone_number": "918-256-7841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAUGHTER",
        "first_name": "AUTUMN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OK",
            "license": "1439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betty F Showler, MAC
• Rachel Showler, B.A., B.H.R.S.
• Judy Shrum
• Bridget Ranee Simmons
• Douglas A. Simmons
• SM Burkhart, PLLC
• Zoey Madison Smiles
• Brenda Smith
• Richard James Smith
• Agnes Jean Soler

• Psychologist in Vinita, OK
• Providers in Vinita, OK by specialty
• Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.