Organization Active NPI

Copper Penny Psychological Center, PLLC

  • Professional Counselor
  • Tulsa, OK
National Provider Identifier
1578800520
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
COPPER PENNY PSYCHOLOGICAL CENTER, PLLC
Practice address
8637 S 73Rd East Ave
Tulsa, OK 74133-6606
Phone
(918) 809-0350
Fax
(918) 806-8026
NPI assigned
Jan 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Authorized official

Name
Michael Underwood, LPCNPI 1659685949
Title
President
Phone
(918) 809-0350

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

8637 S 73Rd East Ave
Tulsa, OK 74133-6606

Mailing address

8637 S 73Rd East Ave
Tulsa, OK 74133-6606
Phone (918) 809-0350

National Provider Directory

National Provider Directory

Locations

4821 S Sheridan Rd
Ste 200
Tulsa, OK 74145

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1578800520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8637 S 73RD EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741336606",
            "telephone_number": "918-809-0350",
            "fax_number": "918-806-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8637 S 73RD EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741336606",
            "telephone_number": "918-809-0350",
            "fax_number": "918-806-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPER PENNY PSYCHOLOGICAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-10",
        "last_updated": "2013-01-10",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-809-0350",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.