Individual provider Active NPI

Dow Greg MC Carty, PH.D.

  • Psychologist
  • Tulsa, OK
National Provider Identifier
1770668105
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
644 Issued in OK
Practice address
7318 E Pine St
Tulsa, OK 74115-5743
Phone
(918) 798-0779
Fax
(918) 583-1398
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 644 OK Primary

Addresses

Primary practice location

7318 E Pine St
Tulsa, OK 74115-5743

Mailing address

7318 E Pine St
Tulsa, OK 74115-5743
Phone (918) 798-0779

Other identifiers 4

IdentifierTypeStateIssuer
100659430AMedicaidOK
731398524001OtherOKBLUE CROSS
100659430BMedicaidOK
100659430DMedicaidOK

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

LicenseStateTypeSpecialty
644OKMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1770668105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7318 E PINE ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741155743",
            "telephone_number": "918-798-0779",
            "fax_number": "918-583-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7318 E PINE ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741155743",
            "telephone_number": "918-798-0779",
            "fax_number": "918-583-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MC CARTY",
        "first_name": "DOW",
        "middle_name": "GREG",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OK",
            "license": "644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100659430A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "731398524001",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100659430B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100659430D",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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.