Active NPI
Alexandria Jade Delozier, PHD
- Clinical Psychologist
- Idabel, OK
National Provider Identifier
1699341768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 601068
- Practice address
- 1303 S Lynn LN
Idabel, OK 74745-6845 - Phone
- (580) 286-7025
- NPI assigned
- May 31, 2021
- Last updated
- May 31, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 601068 | MS | Primary |
Addresses
Primary practice location
1303 S Lynn LN
Idabel, OK 74745-6845
Mailing address
243 Flintlock LN
Haworth, OK 74740-4207
Phone (903) 556-2077
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
| License | State | Type | Specialty |
|---|---|---|---|
| 601068 | MS | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622419200000",
"number": "1699341768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243 FLINTLOCK LN",
"city": "HAWORTH",
"state": "OK",
"postal_code": "747404207",
"telephone_number": "903-556-2077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 S LYNN LN",
"city": "IDABEL",
"state": "OK",
"postal_code": "747456845",
"telephone_number": "580-286-7025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELOZIER",
"first_name": "ALEXANDRIA",
"middle_name": "JADE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-31",
"last_updated": "2021-05-31",
"certification_date": "2021-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MS",
"license": "601068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Idabel, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.