Behavioral Medicine Associates, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

286 Issued in OK

Legal business name

BEHAVIORAL MEDICINE ASSOCIATES, INC.

Practice address

3200 Medical Park Dr
Shawnee, OK 74804-1744

Phone

(405) 878-3432

Fax

(405) 395-5699

NPI assigned

Apr 9, 2007

Organization subpart

No

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

Authorized official

Name

Thomas John Vaughn Jr., PH.D.

Title

Psychologist

Phone

(405) 878-3432

Specialties & licenses 1

Addresses

Other names 1

• Childrens Institute of Behavioral Medicine Former legal business name

Locations

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308528000000",
    "number": "1508989153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 MEDICAL PARK DR",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748041744",
            "telephone_number": "405-878-3432",
            "fax_number": "405-395-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 MEDICAL PARK DR",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748041744",
            "telephone_number": "405-878-3432",
            "fax_number": "405-395-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL MEDICINE ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2011-06-20",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "405-878-3432",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "OK",
            "license": "286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Childrens Institute of Behavioral Medicine",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Avery Paige Baxter
• Andrea Nacole Beck, MS, RD/LD
• Kelly S Beck
• Marilyn A. Becker, NP
• Troy Thomas Becker
• Rachel Beiermann
• Lyric Bell, MFT- CANDIDACY
• Michael Bennett, DMD
• Richard Dean Bennett
• Taylor Faith Bennett

• All providers in Shawnee, OK
• Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.