Organization Active NPI

Gary L Jones PHD PLLC

  • Psychologist
  • Tulsa, OK
National Provider Identifier
1609054576
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
GARY L JONES PHD PLLC
Practice address
6846 S Canton Ave Ste 140
Tulsa, OK 74136-3434
Phone
(539) 867-2820
Fax
(877) 811-5836
NPI assigned
Feb 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Authorized official

Name
Gary L Jones, PHD
Title
Psychologist
Phone
(539) 867-2820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

6846 S Canton Ave Ste 140
Tulsa, OK 74136-3434

Mailing address

6846 S Canton Ave Ste 140
Tulsa, OK 74136-3434
Phone (539) 867-2820

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050202000075 OK Part B Supplier - Clinic/Group Practice 6204884968 Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory

Locations

2431 E 61st St
Ste 225
Tulsa, OK 74136
Phone (918) 747-5565

6846 S Canton Ave
Ste 140
Tulsa, OK 74136
Phone (539) 867-2820

Practitioners & affiliated clinicians

Practitioners 3

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": "1201996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1609054576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6846 S CANTON AVE STE 140",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363434",
            "telephone_number": "539-867-2820",
            "fax_number": "877-811-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6846 S CANTON AVE STE 140",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363434",
            "telephone_number": "539-867-2820",
            "fax_number": "877-811-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY L JONES PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-03",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "539-867-2820",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "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 Aug 12, 2025; 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.