Individual provider Active NPI

Mary C Underhill, PSY.D.

  • Psychologist
  • Norman, OK
National Provider Identifier
1487900858
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1159 Issued in OK
Practice address
712 Wall St
Norman, OK 73069-6360
Phone
(405) 579-7560
Fax
(405) 579-7563
NPI assigned
Aug 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1159 OK Primary

Addresses

Primary practice location

712 Wall St
Norman, OK 73069-6360

Mailing address

4201 Fox Croft Rd
Norman, OK 73026-0905
Phone (954) 552-0388

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120921000248 OK Practitioner - Clinical Psychologist 8123276888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Norman Behavioral Health Group, LLCGroup PAC ID 3173521341, 10 clinicians

Practice addresses (Care Compare)

712 Wall St
Norman, OK 73069-6360
Phone (405) 579-7560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1159OKMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Norman Behavioral Health Group, LLC Psychologist CurrentSince Sep 1, 2024 Accepting new patients

Locations

712 Wall St
Ste 100
Norman, OK 73069
Phone (405) 579-7560

712 Wall St
Norman, OK 73069
Phone (405) 579-1505

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.

NPI Registry JSON

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1487900858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 FOX CROFT RD",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730260905",
            "telephone_number": "954-552-0388",
            "fax_number": "405-579-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 WALL ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696360",
            "telephone_number": "405-579-7560",
            "fax_number": "405-579-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERHILL",
        "first_name": "MARY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-03",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OK",
            "license": "1159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.