Organization Active NPI

Paul G Tobin PHD Prof Corp

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Edmond, OK
National Provider Identifier
1356915342
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PAUL G TOBIN PHD PROF CORP
Practice address
3855 S Boulevard Ste 100
Edmond, OK 73013-5499
Phone
(405) 340-4321
Fax
(405) 340-9408
NPI assigned
May 14, 2021
Last updated
May 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Authorized official

Name
Paul G Tobin PHD Psychologist, PHD
Title
Psychologist
Phone
(405) 340-4321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3855 S Boulevard Ste 100
Edmond, OK 73013-5499

Mailing address

3855 S Boulevard Ste 100
Edmond, OK 73013-5499
Phone (405) 340-4321

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1356915342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 S BOULEVARD STE 100",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135499",
            "telephone_number": "405-340-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 S BOULEVARD STE 100",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135499",
            "telephone_number": "405-340-4321",
            "fax_number": "405-340-9408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL G TOBIN PHD PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "PSYCHOLOGIST",
        "authorized_official_first_name": "PAUL G TOBIN",
        "authorized_official_middle_name": "PHD",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "405-340-4321",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.