Individual provider Active NPI

Judith Karen Adams, PH.D., LMFT, LADC

  • Psychologist
  • Tulsa, OK
National Provider Identifier
1326103086
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
388 Issued in OK
Practice address
9726 E. 42ND Street So.
Suite 106
Tulsa, OK 74146-3673
Phone
(918) 712-7711
Fax
(918) 712-8865
NPI assigned
Dec 23, 2006
Last updated
Jul 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 388 OK Primary
Addiction (Substance Use Disorder) Psychologist 103TA0400X 133 OK
Marriage & Family Therapist 106H00000X 206 OK

Addresses

Primary practice location

9726 E. 42ND Street So.
Suite 106
Tulsa, OK 74146-3673

Mailing address

9726 E. 42ND Street So.
Suite 106
Tulsa, OK 74146-3673
Phone (918) 712-7711

Other identifiers 2

IdentifierTypeStateIssuer
100842090AMedicaidOK
100842090BMedicaidOK

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
I20110215000271 OK Practitioner - Clinical Psychologist 7214117803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Nebraska College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9726 E 42ND St
Suite 106
Tulsa, OK 74146-3673

9726 E 42ND St So
Suite 106
Tulsa, OK 74146-3673
Phone (918) 712-7711

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
206OKMDClinical Psychologist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1326103086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9726 E. 42ND STREET SO.",
            "address_2": "SUITE 106",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741463673",
            "telephone_number": "918-712-7711",
            "fax_number": "918-712-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9726 E. 42ND STREET SO.",
            "address_2": "SUITE 106",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741463673",
            "telephone_number": "918-712-7711",
            "fax_number": "918-712-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "JUDITH",
        "middle_name": "KAREN",
        "name_prefix": "Ms.",
        "credential": "PH.D., LMFT, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-23",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OK",
            "license": "388",
            "primary": true
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "133",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "206",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100842090A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100842090B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.