NPIMap

Organization Active NPI

Poyner Psychological Services, Inc.

  • Psychologist
  • Choctaw, OK
National Provider Identifier
1457471765
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
950 Issued in OK
Legal business name
POYNER PSYCHOLOGICAL SERVICES, INC.
Practice address
14453 SE 29TH St
Suite D
Choctaw, OK 73020-6541
Phone
(405) 741-2844
Fax
(405) 733-1334
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Dr. Gail Anne Poyner, PH.D.
Title
Cheif Executive Officer
Phone
(405) 741-2844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 950 OK Primary

Addresses

Primary practice location

14453 SE 29TH St
Suite D
Choctaw, OK 73020-6541

Mailing address

14453 SE 29TH St
Suite B
Choctaw, OK 73020-6541
Phone (405) 741-2844

Other identifiers 1

IdentifierTypeStateIssuer
200086310 AMedicaidOK

National Provider Directory

National Provider Directory

Locations

14453 SE 29th St
Ste B
Choctaw, OK 73020
Phone (405) 741-2844

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1457471765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14453 SE 29TH ST",
            "address_2": "SUITE B",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730206541",
            "telephone_number": "405-741-2844",
            "fax_number": "405-733-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14453 SE 29TH ST",
            "address_2": "SUITE D",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730206541",
            "telephone_number": "405-741-2844",
            "fax_number": "405-733-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POYNER PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "POYNER",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CHEIF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "405-741-2844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "OK",
            "license": "950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200086310 A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Choctaw, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.

Verify at the official NPI Registry.