Sonya L Cornwell PHD Clinical Psychologist PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SONYA L CORNWELL PHD CLINICAL PSYCHOLOGIST PLLC

Practice address

310 W Keetoowah St
Tahlequah, OK 74464-3824

Phone

(918) 708-9558

Fax

(918) 708-9580

NPI assigned

Sep 25, 2019

Organization subpart

No

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

Authorized official

Name

Sonya L Cornwell, PHDNPI 1194216374

Title

PHD and Owner

Phone

(918) 708-9558

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sonya Lynn Cornwell, PH.D.

  • Clinical Psychologist
  • Tahlequah, OK
  • NPI 1194216374
  Medicare reassignment Care Compare group NPD Authorized official
• Toni M Hail, LCSW

  • Clinical Social Worker
  • Tahlequah, OK
  • NPI 1871729087
  Medicare reassignment Care Compare group NPD
• Thomas Ray Brixey, JD, MS

  • Professional Counselor
  • Tahlequah, OK
  • NPI 1770357832

  Mental Health

  Medicare reassignment NPD
• Elizabeth A Melles, PHD

  • Clinical Psychologist
  • Tahlequah, OK
  • NPI 1528748993
  Medicare reassignment NPD
• Shelby K Starks, SLP

  • Speech-Language Pathologist
  • Wagoner, OK
  • NPI 1780160952
  Medicare reassignment NPD
• M. Marget Wincent, OTIII

  • Occupational Therapist
  • Tahlequah, OK
  • NPI 1437264397
  Medicare reassignment NPD

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1417508904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W KEETOOWAH ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744643824",
            "telephone_number": "918-708-9558",
            "fax_number": "918-708-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W KEETOOWAH ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744643824",
            "telephone_number": "918-708-9558",
            "fax_number": "918-708-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONYA L CORNWELL PHD CLINICAL PSYCHOLOGIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "CORNWELL",
        "authorized_official_first_name": "SONYA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHD AND OWNER",
        "authorized_official_telephone_number": "918-708-9558",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Charles Cricket Smith
• Brandon James Snider, PA-C
• Lori Nixon Snidow, DDS
• Madyson Blair Snow, APRN-CNP
• Tyler Snyder, DO
• Sylvia Soto, M.D.
• Southern Plains Orthopaedic and Sports Medicine Institute
• Lily Grace Southern
• Jane Mechelle Speed, DMD
• Josh Spencer

• Clinical Psychologist in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Clinical Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.