Individual provider Active NPI

Lauren Nichole Adams, PHD

  • Health Service Psychologist
  • Edmond, OK
National Provider Identifier
1609374099
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
1437 Issued in OK
Practice address
17935 N Pennsylvania Ave Ste 201
Edmond, OK 73012-9288
Phone
(405) 285-2110
NPI assigned
Jan 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Psychologist 103TH0100X 1437 OK Primary

Addresses

Primary practice location

17935 N Pennsylvania Ave Ste 201
Edmond, OK 73012-9288

Mailing address

17935 N Pennsylvania Ave Ste 201
Edmond, OK 73012-9288
Phone (405) 285-2110

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1437OKMDHealth Service Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Adams Psychological Assessment and Therapy Services, LLC Health Service CurrentSince Jul 31, 2023 Accepting new patients
Complete Rehab, LLC PastSince Jul 1, 2022 Accepting new patients
Campbell Child Psychology, LLC PastSince Jul 9, 2023 Accepting new patients

Locations

17935 N Pennsylvania Ave
Ste 201
Edmond, OK 73012
Phone (405) 285-2110

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1609374099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17935 N PENNSYLVANIA AVE STE 201",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730129288",
            "telephone_number": "405-285-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17935 N PENNSYLVANIA AVE STE 201",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730129288",
            "telephone_number": "405-285-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "LAUREN",
        "middle_name": "NICHOLE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-31",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "OK",
            "license": "1437",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 7, 2023; 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.