Organization Active NPI

Susan Howard Psychological Services, PLLC

  • Psychologist
  • Waurika, OK
National Provider Identifier
1407224025
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
630 Issued in OK
Legal business name
SUSAN HOWARD PSYCHOLOGICAL SERVICES, PLLC
Practice address
Hwys 70 & 81
Waurika, OK 73573-0207
Phone
(405) 253-6399
NPI assigned
Sep 14, 2015
Last updated
Sep 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

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

Authorized official

Name
Dr. Susan Howard, PH.D.
Title
Psychologist
Phone
(405) 253-6399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 630 OK Primary

Addresses

Primary practice location

Hwys 70 & 81
Waurika, OK 73573-0207

Mailing address

PO Box 207
Waurika, OK 73573-0207

Other identifiers 1

IdentifierTypeStateIssuer
100839310AMedicaidOK

National Provider Directory

National Provider Directory
Tax ID family
Susan Howard Psychological Services PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1407224025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207",
            "city": "WAURIKA",
            "state": "OK",
            "postal_code": "735730207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWYS 70 & 81",
            "city": "WAURIKA",
            "state": "OK",
            "postal_code": "735730207",
            "telephone_number": "405-253-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN HOWARD PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-14",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "405-253-6399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OK",
            "license": "630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100839310A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waurika, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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.