Organization Active NPI

Hahn Psychological Services LLC

  • Community/Behavioral Health Agency
  • Tulsa, OK
National Provider Identifier
1780922286
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
4862 Issued in OK
Legal business name
HAHN PSYCHOLOGICAL SERVICES LLC
Practice address
8906 E Skelly Dr Ste J
Tulsa, OK 74129-3400
Phone
(918) 815-7722
Fax
(918) 836-6101
NPI assigned
Jan 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Authorized official

Name
Jacob Tyler Hahn, PHD LPC
Title
Agency Director
Phone
(918) 815-7722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 4862 OK Primary

Addresses

Primary practice location

8906 E Skelly Dr Ste J
Tulsa, OK 74129-3400

Mailing address

3515 E Admiral CT
Tulsa, OK 74115-8205
Phone (918) 836-0239

Other identifiers 1

IdentifierTypeStateIssuer
200404480BMedicaidOK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1780922286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 E ADMIRAL CT",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741158205",
            "telephone_number": "918-836-0239",
            "fax_number": "918-836-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8906 E SKELLY DR STE J",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741293400",
            "telephone_number": "918-815-7722",
            "fax_number": "918-836-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAHN PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "918-815-7722",
        "authorized_official_credential": "PHD LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "4862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200404480B",
            "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 Jan 18, 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.