Stephanie C Crall, PH.D.

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

928 Issued in OK

Practice address

8241 S Walker Ave
Suite 200
Oklahoma City, OK 73139-9401

Phone

(405) 631-0022

NPI assigned

Jan 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Janita M. Ardis, M.D. Inc.

  • Psychiatry Physician
  • Oklahoma City, OK
  • NPI 1629190376
  NPD (past)
• Traditions Hospice of Tulsa, LLC

  • Community Based Hospice Care Agency
  • Tulsa, OK
  • NPI 1255877718
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1376692228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8241 S WALKER AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399401",
            "telephone_number": "405-631-0022",
            "fax_number": "405-601-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8241 S WALKER AVE",
            "address_2": "SUITE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399401",
            "telephone_number": "405-631-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRALL",
        "first_name": "STEPHANIE",
        "middle_name": "C",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "OK",
            "license": "928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100839070",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Raquel Crain
• Jamie Elizabeth Crain, PA-C
• Kelly Leann Crain
• Monica Rizzuto Crain, MS
• Russell Dean Crain, MD
• Alexis Lynn Cralley, MD
• Nikki Ynice Cramer
• Sara Cramer
• Timothy Luke Cramer, MD
• Crane Young and Associates Inc

• Health Service Psychologist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Health Service Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.

Verify at the official NPI Registry.