Active NPI
Mawoh Lange
- Behavior Analyst
- Edmond, OK
National Provider Identifier
1477951663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 14018 N Western Ave
Edmond, OK 73013-1977 - Phone
- (405) 302-2522
- Fax
- (405) 302-2522
- NPI assigned
- Dec 20, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Professional Counselor | 101YP2500X |
Addresses
Primary practice location
14018 N Western Ave
Edmond, OK 73013-1977
Mailing address
1514 E Lindsey St Apt M
Norman, OK 73071-2246
Phone (405) 412-7334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promise Wellness Center | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Oklahoma City, OK
- NPI 1477381549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424736000000",
"number": "1477951663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 E LINDSEY ST APT M",
"city": "NORMAN",
"state": "OK",
"postal_code": "730712246",
"telephone_number": "405-412-7334",
"fax_number": "405-412-7334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14018 N WESTERN AVE",
"city": "EDMOND",
"state": "OK",
"postal_code": "730131977",
"telephone_number": "405-302-2522",
"fax_number": "405-302-2522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGE",
"first_name": "MAWOH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-20",
"last_updated": "2015-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.