Scott Paul Secor, PSYCHOLOGIST

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

1350 Issued in OK

Practice address

4107 N Council Rd Ste C1
Bethany, OK 73008-3138

Phone

(405) 628-9345

NPI assigned

Feb 7, 2019

Last updated

Dec 2, 2024By 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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Well Psychology and Counseling

  • Health Service Psychologist
  • Bethany, OK
  • NPI 1497571640

  Mental Health

  NPD Authorized official
• Southern Nazarene University

  dba RENEW Counseling Center @SNU

  • Mental Health Counselor
  • Bethany, OK
  • NPI 1871069245
  NPD (past)

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1609331230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4107 N COUNCIL RD STE C1",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730083138",
            "telephone_number": "405-628-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 N COUNCIL RD STE C1",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730083138",
            "telephone_number": "405-628-9345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6612 NW 42nd St",
            "address_purpose": "LOCATION",
            "city": "Bethany",
            "state": "OK",
            "postal_code": "730082764",
            "country_code": "US",
            "telephone_number": "405-717-6200",
            "fax_number": "405-717-6273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SECOR",
        "first_name": "SCOTT",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-07",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "5439",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "OK",
            "license": "1350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Schafer
• Sydney Schmedt
• Rikki Schoonover
• Sherry Elaine Scoles
• Amber Searle, PTA
• Select Physical Therapy Holdings Inc (Select Physical Therapy)
• Cameron Self
• Linda Louise Shaw, LCSW
• Heather Renee Shea
• Doug P Sheffield, DPH

• Health Service Psychologist in Bethany, OK
• Providers in Bethany, OK by specialty
• Health Service Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.