Deziray Swing Click, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1473 Issued in OK

Practice address

16805 Kinross Cir
Edmond, OK 73012-8436

Phone

(405) 408-3878

Fax

(405) 285-0303

NPI assigned

Apr 20, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Life Psychiatric Clinic Clinton LLCGroup PAC ID 4486150364, 3 clinicians

Life Psychiatric Clinic PLLCGroup PAC ID 7618372764, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Life Psychiatric Clinic Clinton LLC

  • Psychiatry Physician
  • Clinton, OK
  • NPI 1871382598
  Medicare reassignment Care Compare group
• Life Psychiatric Clinic PLLC

  • Neurology Physician
  • Edmond, OK
  • NPI 1427722370
  Medicare reassignment Care Compare group
• Lindsay Brooke Dlugonski LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clinton, OK
  • NPI 1922739390
  NPD (past)

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1578854931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16805 KINROSS CIR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730128436",
            "telephone_number": "405-408-3878",
            "fax_number": "405-285-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16805 KINROSS CIR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730128436",
            "telephone_number": "405-408-3878",
            "fax_number": "405-285-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLICK",
        "first_name": "DEZIRAY",
        "middle_name": "SWING",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "1473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Clermont
• Solange Ruth Clery-Wells, RN
• Cliburn Counseling and Support Services
• B. Gale Cliburn, MHR, LPC
• Stacey Cliburn
• Clifford Brian Hooper, D.D.S.
• Demetrick Leon Clifton Jr.
• Clinic Pharmacy Inc
• Amy Christine Clinkenbeard, PT
• Clinton a. Lewis, Psy.D., P.C.

• Physician Assistant in Edmond, OK
• Providers in Edmond, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.