Southern Oklahoma Psychological Associates Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

516 Issued in OK

Legal business name

SOUTHERN OKLAHOMA PSYCHOLOGICAL ASSOCIATES INC.

Practice address

422 S Highland St
Ada, OK 74820-6949

Phone

(580) 332-9531

NPI assigned

Sep 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Reubin M. Wigdor, PH.D

Title

President

Phone

(580) 332-9531

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1336335314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 S HIGHLAND ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748206949",
            "telephone_number": "580-332-9531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 S HIGHLAND ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748206949",
            "telephone_number": "580-332-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OKLAHOMA PSYCHOLOGICAL ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "WIGDOR",
        "authorized_official_first_name": "REUBIN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-332-9531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OK",
            "license": "516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Oklahoma Anesthesiology, Inc
• Southern Oklahoma Internal Medicine P C
• Southern Oklahoma Lifeline LLC
• Southern Oklahoma Pathology Assoc., Inc.
• Southern Oklahoma Pediatrics Inc
• Southern Oklahoma Treatment Serices, Inc.
• Southern Oklahoma Urology, Inc
• Southwest Medical Specialist
• Sovereign Family Clinic, LLC
• Bill Larue Spencer, CRNA

• Clinical Psychologist in Ada, OK
• Providers in Ada, OK by specialty
• Clinical Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.