Stewart R. Beasley Jr. PH.D. LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

199 Issued in OK

Legal business name

STEWART R. BEASLEY JR. PH.D. LLC

Practice address

1366 E 15TH St
Edmond, OK 73013-5029

Phone

(405) 341-4313

Fax

(405) 340-4567

NPI assigned

Sep 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Stewart R Beasley Jr., PH.D.

Title

Managing Member

Phone

(405) 341-4313

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1689823973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1366 E 15TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135029",
            "telephone_number": "405-341-4313",
            "fax_number": "405-340-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1366 E 15TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135029",
            "telephone_number": "405-341-4313",
            "fax_number": "405-340-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWART R. BEASLEY JR. PH.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "STEWART",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "405-341-4313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OK",
            "license": "199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Fletcher Stevenson, MA
• Sabrina Stevenson, B.S.
• Stevie Wilson, P.C.
• Rebecca Steward, LCSW
• Stewart Healthcare Enterprises, LLC
• Bayleigh Hope Stewart
• David Stewart, AT
• Jeffrey L Stewart, L.P.C.
• Justin Stewart
• Laura Stewart, PHARM.D.

• Clinical Psychologist in Edmond, OK
• Providers in Edmond, OK by specialty
• Clinical Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.