Active NPI
Liliana F Speed, ED.D.
- Clinical Psychologist
- Oklahoma City, OK
National Provider Identifier
1376516047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 424
- Practice address
- 2607 NW 65TH St
Oklahoma City, OK 73116-4905 - Phone
- (405) 842-3550
- NPI assigned
- Feb 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 424 | OK | Primary |
Addresses
Primary practice location
2607 NW 65TH St
Oklahoma City, OK 73116-4905
Mailing address
2607 NW 65TH St
Oklahoma City, OK 73116-4905
Phone (405) 842-3550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100836880C | Medicaid | OK |
Other names 1
- Lillian Speed
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 424 | OK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340668800000",
"number": "1376516047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2607 NW 65TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731164905",
"telephone_number": "405-842-3550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2607 NW 65TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731164905",
"telephone_number": "405-842-3550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEED",
"first_name": "LILIANA",
"middle_name": "F",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-10",
"last_updated": "2012-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OK",
"license": "424",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100836880C",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LILLIAN",
"last_name": "SPEED",
"credential": "ED.D",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.