Active NPI
Scott Alan Copeland
- Behavior Analyst
- Prague, OK
National Provider Identifier
1407091754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 57523 Moccasin Trail Road
Prague, OK 74864 - Phone
- (405) 567-0054
- NPI assigned
- Dec 15, 2008
- Last updated
- Dec 15, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NU | Primary |
Addresses
Primary practice location
57523 Moccasin Trail Road
Prague, OK 74864
Mailing address
600 E. 12TH
Ada, OK 74820
Phone (580) 471-8733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200125800A | Medicaid | OK |
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Land of Hope | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Prague, OK
- NPI 1487837167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229299200000",
"number": "1407091754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 E. 12TH",
"city": "ADA",
"state": "OK",
"postal_code": "74820",
"telephone_number": "580-471-8733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57523 MOCCASIN TRAIL ROAD",
"city": "PRAGUE",
"state": "OK",
"postal_code": "74864",
"telephone_number": "405-567-0054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPELAND",
"first_name": "SCOTT",
"middle_name": "ALAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-15",
"last_updated": "2008-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200125800A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Prague, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.