Individual provider Active NPI

Edward Oxer, PH.D./LICENSED PSYCH

  • Psychologist
  • East Lansing, MI
National Provider Identifier
1386600971
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301002804 Issued in MI
Practice address
1968 Winchester Dr
East Lansing, MI 48823-1355
Phone
(517) 337-1222
NPI assigned
Apr 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301002804 MI Primary

Addresses

Primary practice location

1968 Winchester Dr
East Lansing, MI 48823-1355

Mailing address

1968 Winchester Dr
East Lansing, MI 48823-1355
Phone (517) 337-1222

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

LicenseStateTypeSpecialty
6301002804MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Integro LLC PastSince Nov 30, 2016 Accepting new patients
Community Mental Health Authority of Clinton Eaton Ingham Counties PastSince Jun 14, 2017 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1386600971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1968 WINCHESTER DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488231355",
            "telephone_number": "517-337-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1968 WINCHESTER DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488231355",
            "telephone_number": "517-337-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OXER",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "PH.D./LICENSED PSYCH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301002804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.