Individual provider Active NPI

Bryan Joseph Ray, PH.D., LPC, BCBA

  • Clinical Psychologist
  • Norman, OK
National Provider Identifier
1417100181
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1294 Issued in OK
Practice address
2405 Palmer Cir Ste 100
Norman, OK 73069-6351
Phone
(405) 561-7928
Fax
(405) 310-9944
NPI assigned
Oct 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Clinical Psychologist 103TC0700X 1294 OK Primary

Addresses

Primary practice location

2405 Palmer Cir Ste 100
Norman, OK 73069-6351

Mailing address

2405 Palmer Cir Ste 100
Norman, OK 73069-6351
Phone (405) 561-7928

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
1294OKMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Via Employment Opportunities LLC Current Accepting new patients

Locations

2405 Palmer Cir
Ste 100
Norman, OK 73069
Phone (405) 561-7928

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1417100181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 PALMER CIR STE 100",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696351",
            "telephone_number": "405-561-7928",
            "fax_number": "405-310-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 PALMER CIR STE 100",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696351",
            "telephone_number": "405-561-7928",
            "fax_number": "405-310-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "BRYAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPC, BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-28",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OK",
            "license": "1294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; 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.