Organization Active NPI

Community Pathways Unlimited Inc

  • Clinical Psychologist
  • Oklahoma City, OK
National Provider Identifier
1659328284
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
260 Issued in OK
Legal business name
COMMUNITY PATHWAYS UNLIMITED INC
Practice address
4045 NW 64TH St
Ste 520
Oklahoma City, OK 73116-8608
Phone
(405) 842-4911
NPI assigned
May 28, 2006
Last updated
Oct 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Authorized official

Name
Pamela Kay Dyer
Title
Director of Operatins
Phone
(405) 842-4911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 260 OK Primary

Addresses

Primary practice location

4045 NW 64TH St
Ste 520
Oklahoma City, OK 73116-8608

Mailing address

4045 NW 64TH St
Ste 520
Oklahoma City, OK 73116-8608
Phone (405) 842-4911

Other identifiers 3

IdentifierTypeStateIssuer
100744820AMedicaidOK
442366315001OtherOKOUTPT MENTAL HEALTH
DD4662OtherOKRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040109001005 OK Part B Supplier - Clinic/Group Practice 6608776349 Receives reassigned benefits from 96 practitioners

National Provider Directory

National Provider Directory

Locations (25 of 29)

201 W 5th St
Ada, OK 74820
Phone (580) 436-0950

310 E 10th St
Ada, OK 74820
Phone (580) 272-6675

200 N Easton
Allen, OK 74825
Phone (580) 857-1300

401 Redbud Ln
Chelsea, OK 74016
Phone (918) 789-3215

106 W Adams St
Corn, OK 73024
Phone (580) 343-2295

1901 Parkview Dr
El Reno, OK 73036
Phone (405) 262-2833

503 S Main St
Gore, OK 74435
Phone (918) 489-2299

2219 Woodlawn Ave
Guthrie, OK 73044
Phone (405) 282-3630

120 W Versa St
Hollis, OK 73550
Phone (580) 688-2828

1415 S Main St
Kingfisher, OK 73750
Phone (405) 375-3157

905 Beall Rd
Kingfisher, OK 73750
Phone (405) 375-6857

2120 N Broadway St
Moore, OK 73160
Phone (405) 747-6154

300 N Eastern Ave
Moore, OK 73160
Phone (405) 735-4700

151 48th Ave SW
Norman, OK 73072
Phone (405) 310-4499

201 48th Ave SW
Norman, OK 73072
Phone (405) 366-8800

641 W Texas
Okarche, OK 73762
Phone (405) 263-4658

1400 NW 122nd St
Oklahoma City, OK 73114
Phone (405) 751-3600

1402 NW 122nd St
Oklahoma City, OK 73114
Phone (405) 751-3600

3804 N Barr Ave
Oklahoma City, OK 73122
Phone (405) 789-7102

5609 Mosteller Dr
Oklahoma City, OK 73112
Phone (405) 495-0180

1400 N Waverly St
Ponca City, OK 74601
Phone (580) 747-9039

210 N Adair St
Pryor, OK 74361
Phone (918) 825-4455

407 Whitebird St
Quapaw, OK 74363
Phone (918) 674-2233

1324 S Main St
Ste A
Stillwater, OK 74074
Phone (405) 372-2341

3910 Park Rd
Tulsa, OK 74115
Phone (918) 428-4663

Practitioners & affiliated clinicians

Practitioners 110

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 110

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1659328284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 NW 64TH ST",
            "address_2": "STE 520",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731168608",
            "telephone_number": "405-842-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 NW 64TH ST",
            "address_2": "STE 520",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731168608",
            "telephone_number": "405-842-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PATHWAYS UNLIMITED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATINS",
        "authorized_official_telephone_number": "405-842-4911"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OK",
            "license": "260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100744820A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUTPT MENTAL HEALTH",
            "identifier": "442366315001",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD4662",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.