Organization Active NPI

Erica McQuiddy Pysd

  • Psychologist
  • Tulsa, OK
National Provider Identifier
1366825713
Registry record updated Feb 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1196 Issued in OK
Legal business name
ERICA MCQUIDDY PYSD
Practice address
5800 E Skelly Dr Ste 1111
Tulsa, OK 74135-6448
Phone
(918) 631-7581
Fax
(918) 209-5538
NPI assigned
Jul 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2019

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

Authorized official

Name
Melanie Erica McQuiddy, PSYDNPI 1164716965
Title
Owner
Phone
(918) 631-7581

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 1196 OK Primary

Addresses

Primary practice location

5800 E Skelly Dr Ste 1111
Tulsa, OK 74135-6448

Mailing address

5800 E Skelly Dr Ste 1111
Tulsa, OK 74135-6448
Phone (918) 631-7581

Other practice location 1

3010 S Harvard Ave
Ste 110
Tulsa, OK 74114-6124
Phone (918) 631-7581

National Provider Directory

National Provider Directory

Locations

5800 E Skelly Dr
Ste 1111
Tulsa, OK 74135
Phone (918) 631-7581

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550361600000",
    "number": "1366825713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 E SKELLY DR STE 1111",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356448",
            "telephone_number": "918-631-7581",
            "fax_number": "918-209-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 E SKELLY DR STE 1111",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356448",
            "telephone_number": "918-631-7581",
            "fax_number": "918-209-5538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3010 S Harvard Ave",
            "address_2": "Ste 110",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741146124",
            "country_code": "US",
            "telephone_number": "918-631-7581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ERICA MCQUIDDY PYSD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-02",
        "last_updated": "2019-02-17",
        "status": "A",
        "authorized_official_last_name": "MCQUIDDY",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "ERICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-631-7581",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "OK",
            "license": "1196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2019; 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.