Active NPI
Indrani K Thiruselvam, PHD
- Clinical Psychologist
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1372
- Practice address
- 920 Stanton L Young Blvd
Oklahoma City, OK 73104-5036 - Phone
- (405) 271-4488
- NPI assigned
- Mar 15, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 1154 | WV | |
| Psychologist | 103T00000X | P.08147 | OH | |
| Clinical Psychologist | 103TC0700X | 1372 | OK | Primary |
Addresses
Primary practice location
920 Stanton L Young Blvd
Oklahoma City, OK 73104-5036
Mailing address
920 Stanton L Young Blvd
Oklahoma City, OK 73104-5036
Phone (405) 271-4488
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154 | Other | WV | WV BOARD OF EXAMINERS OF PSYCHOLOGISTS |
| 1372 | Other | OK | OKLAHOMA STATE BOARD OF EXAMINERS OF PSYCHOLOGISTS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
900 NE 10TH St
Ouhp Family Medicine
Oklahoma City, OK 73104-5420
Phone (572) 244-0065
920 Stanton L Young Blvd
Oklahoma City, OK 73104-5036
Phone (572) 244-0061
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.26 of 100
- Quality
- 53.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.48
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients |
Locations
920 Stanton L Young Blvd
Oklahoma City, OK 73104
Phone (405) 271-5251
900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230
Interoperability endpoints
- ikthiruselvam25351@ouhealth.direct-ci.net
Organizations & group practices 2
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.
-
dba Ou Health Partners
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1528642642
-
dba OUHP Orthotics & Prosthetic
- Prosthetic/Orthotic Supplier
- Oklahoma City, OK
- NPI 1447834460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681776000000",
"number": "1467037192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 STANTON L YOUNG BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045036",
"telephone_number": "405-271-4488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 STANTON L YOUNG BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045036",
"telephone_number": "405-271-4488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "K THIRUSELVAM",
"first_name": "INDRANI",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-15",
"last_updated": "2023-04-18",
"certification_date": "2023-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "WV",
"license": "1154",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "P.08147",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OK",
"license": "1372",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WV BOARD OF EXAMINERS OF PSYCHOLOGISTS",
"identifier": "1154",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OKLAHOMA STATE BOARD OF EXAMINERS OF PSYCHOLOGISTS",
"identifier": "1372",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.