Active NPI
Madison Wall
- Psychiatry Physician
- Oklahoma City, OK
National Provider Identifier
1669304127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 50098
- Practice address
- 920 Stanton L Young Blvd
Oklahoma City, OK 73104-5020 - Phone
- (405) 271-5121
- NPI assigned
- Jun 1, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 50098 | OK | |
| Psychiatry Physician | 2084P0800X | 50098 | OK | Primary |
Addresses
Primary practice location
920 Stanton L Young Blvd
Oklahoma City, OK 73104-5020
Mailing address
920 Stanton L Young Blvd
Wp3216
Oklahoma City, OK 73104-5020
Phone (405) 271-5121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48143 | OK | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783641600000",
"number": "1669304127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 STANTON L YOUNG BLVD",
"address_2": "WP3216",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045020",
"telephone_number": "405-271-5121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 STANTON L YOUNG BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045020",
"telephone_number": "405-271-5121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALL",
"first_name": "MADISON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-01",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OK",
"license": "50098",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OK",
"license": "50098",
"primary": true
}
],
"identifiers": [],
"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 Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.