Active NPI
Gregory Parks, PH.D.
- Psychologist
- Oklahoma City, OK
National Provider Identifier
1306127048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1235
- Practice address
- 6608 N Western Ave
Ste. 453
Oklahoma City, OK 73116-7326 - Phone
- (405) 696-7795
- Fax
- (855) 861-6281
- NPI assigned
- Sep 8, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 33260 | TX | |
| Psychologist | 103T00000X | 1235 | OK | Primary |
Addresses
Primary practice location
6608 N Western Ave
Ste. 453
Oklahoma City, OK 73116-7326
Mailing address
6608 N Western Ave
Ste. 453
Oklahoma City, OK 73116-7326
Phone (405) 696-7795
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1235 | OK | MD | Professional Counselor |
| 33260 | TX | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492560000000",
"number": "1306127048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6608 N WESTERN AVE",
"address_2": "STE. 453",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731167326",
"telephone_number": "405-696-7795",
"fax_number": "855-861-6281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6608 N WESTERN AVE",
"address_2": "STE. 453",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731167326",
"telephone_number": "405-696-7795",
"fax_number": "855-861-6281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKS",
"first_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-08",
"last_updated": "2017-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "33260",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OK",
"license": "1235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.