Individual provider Active NPI

Barton Jay Trentham, PHD

  • Psychologist
  • Tulsa, OK
National Provider Identifier
1336222579
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
763 Issued in OK
Practice address
4870 S Lewis
180
Tulsa, OK 74105
Phone
(918) 628-7277
Fax
(918) 742-7677
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 763 OK Primary

Addresses

Primary practice location

4870 S Lewis
180
Tulsa, OK 74105

Mailing address

4870 S Lewis
180
Tulsa, OK 74105
Phone (918) 628-7277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4870 S Lewis Ave
Suite 205
Tulsa, OK 74105-5153

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
763OKMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Peteryne D. Miller, M.D. LLC CurrentSince Feb 9, 2019 Accepting new patients

Locations

4870 S Lewis Ave
Ste 205
Tulsa, OK 74105
Phone (918) 745-9233

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336222579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4870 S LEWIS",
            "address_2": "180",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74105",
            "telephone_number": "918-628-7277",
            "fax_number": "918-742-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4870 S LEWIS",
            "address_2": "180",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74105",
            "telephone_number": "918-628-7277",
            "fax_number": "918-742-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRENTHAM",
        "first_name": "BARTON",
        "middle_name": "JAY",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OK",
            "license": "763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.