John Atwood Clinical Psychologist Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

JOHN ATWOOD CLINICAL PSYCHOLOGIST INC

Practice address

2300 Deborah LN
Edmond, OK 73034-3066

Phone

(405) 285-1523

Fax

(405) 285-1523

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Pat A Atwood

Title

Office Manager

Phone

(405) 285-1523

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1477623726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 DEBORAH LN",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343066",
            "telephone_number": "405-285-1523",
            "fax_number": "405-285-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 DEBORAH LN",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343066",
            "telephone_number": "405-285-1523",
            "fax_number": "405-285-1523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN ATWOOD CLINICAL PSYCHOLOGIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "ATWOOD",
        "authorized_official_first_name": "PAT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "405-285-1523",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.