Organization Active NPI

Peter T Oas PHD PA

  • Clinical Psychologist
  • Niceville, FL
National Provider Identifier
1588965636
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY3598 Issued in FL
Legal business name
PETER T OAS PHD PA
Practice address
707 Bayshore Dr
Niceville, FL 32578-2589
Phone
(850) 729-3117
Fax
(850) 729-3142
NPI assigned
Nov 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Authorized official

Name
Dr. Peter Timothy Oas, PH.D.NPI 1144238270
Title
Owner/Licensed Psychologist
Phone
(850) 729-3117

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY3598 FL Primary

Addresses

Primary practice location

707 Bayshore Dr
Niceville, FL 32578-2589

Mailing address

PO Box 1002
Niceville, FL 32588-1002
Phone (850) 729-3117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101116000629 FL Part B Supplier - Clinic/Group Practice 3072708023 Receives reassigned benefits from 1 practitioner
Practice locations: Niceville, FL

National Provider Directory

National Provider Directory

Locations

707 Bayshore Dr
Niceville, FL 32578
Phone (850) 729-3117

Practitioners & affiliated clinicians

Practitioners 1

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": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1588965636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1002",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325881002",
            "telephone_number": "850-729-3117",
            "fax_number": "850-729-3142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 BAYSHORE DR",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325782589",
            "telephone_number": "850-729-3117",
            "fax_number": "850-729-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER T OAS PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-05",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "OAS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER/LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "850-729-3117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY3598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niceville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.