Edward E. Decker Jr., PH.D.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1129 Issued in OK

Practice address

5272 S Lewis Ave Ste 112
Tulsa, OK 74105-6563

Phone

(918) 695-5124

Fax

(918) 495-2043

NPI assigned

Mar 29, 2009

Last updated

Mar 29, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1238284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238284800000",
    "number": "1598907164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5272 S LEWIS AVE STE 112",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056563",
            "telephone_number": "918-695-5124",
            "fax_number": "918-495-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5272 S LEWIS AVE STE 112",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056563",
            "telephone_number": "918-695-5124",
            "fax_number": "918-495-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "EDWARD",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-29",
        "last_updated": "2009-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "1129",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "321",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marci Love Deck, PA-C
• Casey Deckard, LPC
• Bobbie L Decker, CST/CSFA
• Caitlyn Decker
• Destini A Decker
• Garrett Hughes Decker, D.O.
• Kendall Decker, BCBA
• Arriana Decuir
• Shelby Lynn Dederick, RD/LD
• Riley A. Jarrett Deem

• Professional Counselor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2009; 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.