Active NPI
Olivia Daniels, BHRS
- Rehabilitation Psychologist
- Edmond, OK
National Provider Identifier
1578887113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Psychologist
- Practice address
- 1729 W. 33Rd Street
Edmond, OK 73013-3836 - Phone
- (405) 748-3432
- NPI assigned
- Mar 25, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Psychologist | 103TR0400X | OK | Primary |
Addresses
Primary practice location
1729 W. 33Rd Street
Edmond, OK 73013-3836
Mailing address
1528 NW 126TH Street
Oklahoma City, OK 73120-5086
Phone (405) 748-3432
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 025365687 | Medicaid | OK | |
| 027884943 | Medicaid | OK | |
| 006948103 | Medicaid | OK | |
| 028638434 | Medicaid | OK | |
| 030674055 | Medicaid | OK | |
| 0269000324 | Medicaid | OK |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269475200000",
"number": "1578887113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1528 NW 126TH STREET",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731205086",
"telephone_number": "405-748-3432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1729 W. 33RD STREET",
"city": "EDMOND",
"state": "OK",
"postal_code": "730133836",
"telephone_number": "405-748-3432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELS",
"first_name": "OLIVIA",
"credential": "BHRS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-25",
"last_updated": "2010-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "025365687",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "027884943",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006948103",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "028638434",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "030674055",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0269000324",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.