Individual provider Active NPI

Daniel M Stockley, PHD

  • Psychologist
  • Tulsa, OK
National Provider Identifier
1801916010
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
595 Issued in OK
Practice address
5200 S Yale Avenue
Suite 201
Tulsa, OK 74135-7486
Phone
(918) 495-0822
Fax
(918) 495-0836
NPI assigned
Mar 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 595 OK Primary

Addresses

Primary practice location

5200 S Yale Avenue
Suite 201
Tulsa, OK 74135-7486

Mailing address

5200 S Yale Avenue
Suite 201
Tulsa, OK 74135-7486
Phone (918) 495-0822

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
595OKMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801916010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 S YALE AVENUE",
            "address_2": "SUITE 201",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741357486",
            "telephone_number": "918-495-0822",
            "fax_number": "918-495-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 S YALE AVENUE",
            "address_2": "SUITE 201",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741357486",
            "telephone_number": "918-495-0822",
            "fax_number": "918-495-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKLEY",
        "first_name": "DANIEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OK",
            "license": "595",
            "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 Jul 8, 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.

Verify at the official NPI Registry.