Active NPI
Phyllis Kay Pulchny
- Behavior Analyst
- Oklahoma, OK
National Provider Identifier
1306440136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 100 E Bond
Oklahoma, OK 74430 - Phone
- (918) 814-1070
- NPI assigned
- Nov 23, 2020
- Last updated
- Nov 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NU | Primary |
Addresses
Primary practice location
100 E Bond
Oklahoma, OK 74430
Mailing address
PO Box 81
Crowder, OK 74430-0081
Phone (918) 814-1070
Other names 1
- Mrs. Phyllis Kay Wells
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606089600000",
"number": "1306440136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 81",
"city": "CROWDER",
"state": "OK",
"postal_code": "744300081",
"telephone_number": "918-814-1070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E BOND",
"city": "OKLAHOMA",
"state": "OK",
"postal_code": "74430",
"telephone_number": "918-814-1070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULCHNY",
"first_name": "PHYLLIS",
"middle_name": "KAY",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-23",
"last_updated": "2020-11-23",
"certification_date": "2020-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PHYLLIS",
"last_name": "WELLS",
"middle_name": "KAY",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oklahoma, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.