Active NPI
Pommetha McGill, BA
- Clinical Child & Adolescent Psychologist
- Tulsa, OK
National Provider Identifier
1790969004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- Practice address
- 7010 S Yale Ave
Suite 215
Tulsa, OK 74136-5713 - Phone
- (918) 492-2554
- Fax
- (918) 499-1598
- NPI assigned
- Dec 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | Primary |
Addresses
Primary practice location
7010 S Yale Ave
Suite 215
Tulsa, OK 74136-5713
Mailing address
7747 S Victor Ave
24D
Tulsa, OK 74136-7724
Phone (918) 794-4457
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
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198195200000",
"number": "1790969004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7747 S VICTOR AVE",
"address_2": "24D",
"city": "TULSA",
"state": "OK",
"postal_code": "741367724",
"telephone_number": "918-794-4457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7010 S YALE AVE",
"address_2": "SUITE 215",
"city": "TULSA",
"state": "OK",
"postal_code": "741365713",
"telephone_number": "918-492-2554",
"fax_number": "918-499-1598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGILL",
"first_name": "POMMETHA",
"name_prefix": "Ms.",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-21",
"last_updated": "2007-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.