Active NPI
Rachele L Floyd, PSY.D.
- Clinical Psychologist
- Oklahoma City, OK
National Provider Identifier
1801134432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1003
- 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
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 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 731042545001 | Other | OK | TRICARE |
| 73-1042545 | Other | OK | COMMUNITY CARE |
| 73-1042545 | Other | OK | BLUE CROSS, BLUE SHIELD |
| 200480010A | Medicaid | OK | |
| 73-1042545 | Other | GROUP 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180803002518 | OK | Practitioner - Clinical Psychologist | 3476791518 | Practice locations: Oklahoma City, OK |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1003 | OK | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New 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 | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
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- NPI 1255966941
-
- Clinic/Center
- Tulsa, OK
- NPI 1427034958
-
- Pharmacy
- Tulsa, OK
- NPI 1457447609
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.