Elissa Marie Dyer, PH.D.

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

1049 Issued in OK

Practice address

5009 N Pennsylvania Ave Ste 116
Oklahoma City, OK 73112-8888

Phone

(405) 843-1551

Fax

(405) 843-1494

NPI assigned

Aug 25, 2009

Last updated

Mar 7, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

University of Oklahoma College of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Edmondson Counseling Services PCGroup PAC ID 6800946831, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Edmondson Counseling Services, PC

  • Mental Health Counselor
  • Oklahoma City, OK
  • NPI 1447328489
  Medicare reassignment Care Compare group
• Sally Ray Inc

  • Clinical Social Worker
  • Oklahoma City, OK
  • NPI 1285825356
  NPD (past)

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394150400000",
    "number": "1801029715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 N PENNSYLVANIA AVE STE 116",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731128888",
            "telephone_number": "405-843-1551",
            "fax_number": "405-843-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 N PENNSYLVANIA AVE STE 116",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731128888",
            "telephone_number": "405-843-1551",
            "fax_number": "405-843-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "ELISSA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-25",
        "last_updated": "2014-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "OK",
            "license": "1049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Dycus, PH.D.
• Bradley Victor Dye, MD
• Drew Lawrence Dye, D.O.
• Christine N. Dyer, PHARMD
• Edie Jolyn Dyer
• Jessica Dyer, PT
• Jessica Dyer, RBT
• Kalin Dyer
• Kimberly Dyer
• Kimberly Anne Dyer, COTA/L

• Health Service Psychologist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Health Service Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.