Individual provider Active NPI

Stephanie L Porterfield, PH.D.

  • Psychologist
  • Norman, OK
National Provider Identifier
1679509483
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
945 Issued in OK
Practice address
1225 W Main St
Suite 102
Norman, OK 73069-6824
Phone
(405) 255-2591
Fax
(405) 325-1478
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 945 OK Primary

Addresses

Primary practice location

1225 W Main St
Suite 102
Norman, OK 73069-6824

Mailing address

3017 Cavecreek St
Norman, OK 73071-7161
Phone (405) 255-2591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130802000093 OK Practitioner - Clinical Psychologist 3476701863 Practice locations: Norman, OK

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1225 W Main
Suite 102
Norman, OK 73069

1225 W Main St
Norman, OK 73069-6851
Phone (405) 255-2591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
945OKMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679509483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 CAVECREEK ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730717161",
            "telephone_number": "405-255-2591",
            "fax_number": "405-325-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 W MAIN ST",
            "address_2": "SUITE 102",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696824",
            "telephone_number": "405-255-2591",
            "fax_number": "405-325-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTERFIELD",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OK",
            "license": "945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.