NPIMap

Organization Active NPI

Russell Koch & Associates

  • Psychologist
  • Norman, OK
National Provider Identifier
1457645491
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
602 Issued in OK
Legal business name
RUSSELL KOCH & ASSOCIATES
Practice address
820 Wall St
Norman, OK 73069-6302
Phone
(405) 928-2044
Fax
(405) 928-2049
NPI assigned
Jun 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Authorized official

Name
Russell Eugene Koch, PHD
Title
Doctor
Phone
(405) 928-2044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 602 OK Primary

Addresses

Primary practice location

820 Wall St
Norman, OK 73069-6302

Mailing address

820 Wall St
Norman, OK 73069-6302
Phone (405) 928-2044

Other identifiers 1

IdentifierTypeStateIssuer
100838010AMedicaidOK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1457645491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 WALL ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696302",
            "telephone_number": "405-928-2044",
            "fax_number": "405-928-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 WALL ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696302",
            "telephone_number": "405-928-2044",
            "fax_number": "405-928-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL KOCH & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "405-928-2044",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "OK",
            "license": "602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100838010A",
            "state": "OK"
        }
    ],
    "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 Jun 7, 2011; 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.