Isaac Juarez Carcovich, B.A

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

13504 Brampton Way
Yukon, OK 73099-6591

Phone

(405) 740-7134

NPI assigned

Jan 31, 2012

Last updated

Apr 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Arts

Practice roles

Locations

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.

• Morton Comprehensive Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Tulsa, OK
  • NPI 1275528085
  Medicare reassignment NPD
• Morton Comprehensive Health Services, Inc

  dba Morton Midtown Clinic (Homeless Clinic)

  • Federally Qualified Health Center (FQHC)
  • Tulsa, OK
  • NPI 1215922844
  NPD
• Morton Comprehensive Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Tulsa, OK
  • NPI 1457166522
  NPD
• Morton Comprehensive Health Services, Inc.

  dba Nowata Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Nowata, OK
  • NPI 1538155163
  NPD (past)

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1326310897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 N BRIARCLIFF AVE",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730085657",
            "telephone_number": "405-740-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13504 BRAMPTON WAY",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996591",
            "telephone_number": "405-740-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUAREZ CARCOVICH",
        "first_name": "ISAAC",
        "credential": "B.A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-31",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine M Jones
• Nathaniel Jones Jr.
• Anita Louise Jordan, PHARM D
• Joshua Smith MD Incorporated
• Jasmin Abraham Joy
• Tammy Leeann Kain, RN
• Jacklyn Marie Kapsch
• John E. Karis, LBP
• Layne Keathly, M.D.
• Jennifer Lynn Keel, CCC-SLP

• Psychologist in Yukon, OK
• Providers in Yukon, OK by specialty
• Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.