Mona McCullough, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

814 Issued in OK

Practice address

13301 N Meridian Ave
BLDG 100
Oklahoma City, OK 73120-9369

Phone

(405) 752-9500

Fax

(405) 752-9571

NPI assigned

May 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Clinical Psychologist

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Restore Behavioral Health LLCGroup PAC ID 8628512647, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Restore Behavioral Health LLC

  • Mental Health Counselor
  • Norman, OK
  • NPI 1083163083
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1710935010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13301 N MERIDIAN AVE",
            "address_2": "BLDG 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731209369",
            "telephone_number": "405-752-9500",
            "fax_number": "405-752-9571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13301 N MERIDIAN AVE",
            "address_2": "BLDG 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731209369",
            "telephone_number": "405-752-9500",
            "fax_number": "405-752-9571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "MONA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "OK",
            "license": "814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7342420",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "23727800173120A029",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100840340A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra Ann McCullock, ARNP
• Zackary Lee McCullock
• Carmeletta R McCullough, MBA
• Casey Ryan McCullough, PHARMD
• Kiara Janay McCullough
• Stela Veskova McCullough
• Willie James McCullough
• Judy Ann McCune
• Kristy McCune, M.S., BHCM-II
• Michelle McCune, FNP

• Counseling Psychologist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Counseling Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.