Active NPI
Hahn Psychological Services LLC
- Community/Behavioral Health Agency
- Tulsa, OK
National Provider Identifier
1780922286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 4862
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200404480B | Medicaid | OK |
National Provider Directory
National Provider DirectoryNPI 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.