Organization Active NPI

Leach Public School

  • School Psychologist
  • Rose, OK
National Provider Identifier
1740960376
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Legal business name
LEACH PUBLIC SCHOOL
Practice address
55979 S 530 Rd
Rose, OK 74364-1665
Phone
(918) 868-2277
NPI assigned
Jul 19, 2023
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Jimmy Reynolds
Title
Superintendent
Phone
(918) 868-2277

National Provider Directory

National Provider Directory

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
School CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YS0200X
School PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TS0200X Primary

Addresses

NPPES NPI Registry

Primary practice location

55979 S 530 Rd
Rose, OK 74364-1665

Mailing address

55979 S 530 Rd
Rose, OK 74364-1665

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 19, 2023.

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1740960376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55979 S 530 RD",
            "city": "ROSE",
            "state": "OK",
            "postal_code": "743641665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55979 S 530 RD",
            "city": "ROSE",
            "state": "OK",
            "postal_code": "743641665",
            "telephone_number": "918-868-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEACH PUBLIC SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "918-868-2277"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rose, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.