Individual provider Active NPI

Rachele L Floyd, PSY.D.

  • Clinical Psychologist
  • Oklahoma City, OK
National Provider Identifier
1801134432
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1003 Issued in OK
Practice address
3030 NW Expressway Ste 200
Oklahoma City, OK 73112-5466
Phone
(405) 445-0005
Fax
(405) 842-0079
NPI assigned
Jan 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1003 OK Primary

Addresses

Primary practice location

3030 NW Expressway Ste 200
Oklahoma City, OK 73112-5466

Mailing address

3030 NW Expressway Ste 300
Oklahoma City, OK 73112-5400
Phone (405) 445-0005

Other identifiers 5

IdentifierTypeStateIssuer
731042545001OtherOKTRICARE
73-1042545OtherOKCOMMUNITY CARE
73-1042545OtherOKBLUE CROSS, BLUE SHIELD
200480010AMedicaidOK
73-1042545OtherGROUP MEDICARE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180803002518 OK Practitioner - Clinical Psychologist 3476791518 Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1003OKMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Dymphna Psychological Services Current Accepting new patients
Indian Health Care Resource Center of Tulsa, Inc. Past Accepting new patients
Indian Health Care Resource Center PastSince Mar 24, 2003 Accepting new patients

Locations

3030 NW Expressway St
Ste 200
Oklahoma City, OK 73112
Phone (405) 383-9001

3030 NW Expressway St
Ste 300
Oklahoma City, OK 73112
Phone (405) 326-7287

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1801134432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 NW EXPRESSWAY STE 300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125400",
            "telephone_number": "405-445-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 NW EXPRESSWAY STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125466",
            "telephone_number": "405-445-0005",
            "fax_number": "405-842-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "RACHELE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-16",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OK",
            "license": "1003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "731042545001",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY CARE",
            "identifier": "73-1042545",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS, BLUE SHIELD",
            "identifier": "73-1042545",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200480010A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "73-1042545",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.