Individual provider Active NPI

Edgar Julian Kranau, PH D

  • Psychologist
  • Tulsa, OK
National Provider Identifier
1295757128
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
434 Issued in OK
Practice address
6216 S Lewis Ave
Suite 164
Tulsa, OK 74136-1044
Phone
(918) 712-9020
Fax
(918) 712-9021
NPI assigned
Jul 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 434 OK Primary

Addresses

Primary practice location

6216 S Lewis Ave
Suite 164
Tulsa, OK 74136-1044

Mailing address

PO Box 14082
Tulsa, OK 74159-1082
Phone (918) 712-9020

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
I20100617000273 OK Practitioner - Clinical Psychologist 0648300673 Practice locations: Tulsa, OK

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6216 S Lewis Ave
Suite 164
Tulsa, OK 74136-1017
Phone (918) 712-9020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
434OKMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295757128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14082",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741591082",
            "telephone_number": "918-712-9020",
            "fax_number": "918-712-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6216 S LEWIS AVE",
            "address_2": "SUITE 164",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361044",
            "telephone_number": "918-712-9020",
            "fax_number": "918-712-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRANAU",
        "first_name": "EDGAR",
        "middle_name": "JULIAN",
        "credential": "PH D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OK",
            "license": "434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.