NPIMap

Organization Active NPI

Osu Psychological Service Center

  • Clinical Psychologist
  • Stillwater, OK
National Provider Identifier
1316246754
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
OSU PSYCHOLOGICAL SERVICE CENTER
Practice address
118 N Murray Hall
Stillwater, OK 74078-3060
Phone
(405) 744-5975
Fax
(405) 744-2826
NPI assigned
Mar 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Authorized official

Name
Dr. R Matt Alderson, PHD
Title
Clinic Director
Phone
(405) 744-5975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

118 N Murray Hall
Stillwater, OK 74078-3060

Mailing address

118 N Murray Hall
Stillwater, OK 74078-3060
Phone (405) 744-5975

National Provider Directory

National Provider Directory
Tax ID family
Sallisaw State Veterans Home140 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

118 N Murray Hall
Stillwater, OK 74078
Phone (405) 269-5631

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1316246754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N MURRAY HALL",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740783060",
            "telephone_number": "405-744-5975",
            "fax_number": "405-744-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N MURRAY HALL",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740783060",
            "telephone_number": "405-744-5975",
            "fax_number": "405-744-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSU PSYCHOLOGICAL SERVICE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "ALDERSON",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "MATT",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "405-744-5975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.