Individual provider Active NPI

Austin Diwight Ralstin, PSYD

  • Psychologist
  • Norman, OK
National Provider Identifier
1548096324
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
712 Wall St Ste 100
Norman, OK 73069-6360
Phone
(405) 579-7560
Fax
(405) 579-7563
NPI assigned
Sep 10, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

712 Wall St Ste 100
Norman, OK 73069-6360

Mailing address

521 N Broad St
Guthrie, OK 73044-3324
Phone (405) 757-1793

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

OrganizationSpecialtyStatusNew patients
Norman Behavioral Health Group, LLC Psychologist CurrentSince Sep 15, 2024 Accepting new patients

Locations

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

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": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1548096324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 N BROAD ST",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730443324",
            "telephone_number": "405-757-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 WALL ST STE 100",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696360",
            "telephone_number": "405-579-7560",
            "fax_number": "405-579-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALSTIN",
        "first_name": "AUSTIN",
        "middle_name": "DIWIGHT",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.