Organization Active NPI

Deborah K Hartley PHD PC

  • Psychologist
  • Edmond, OK
National Provider Identifier
1801963236
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0777 Issued in OK
Legal business name
DEBORAH K HARTLEY PHD PC
Practice address
411 Hunters CT
Edmond, OK 73034-4217
Phone
(405) 553-1266
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Authorized official

Name
Deborah K Hartley, PH.D.
Title
President
Phone
(405) 553-1266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 0777 OK Primary

Addresses

Primary practice location

411 Hunters CT
Edmond, OK 73034-4217

Mailing address

411 Hunters CT
Edmond, OK 73034-4217
Phone (405) 553-1266

Other identifiers 1

IdentifierTypeStateIssuer
442546934002OtherOKBCBS OF OKLAHOMA

National Provider Directory

National Provider Directory

Locations

1015 Waterwood Pkwy
Edmond, OK 73034
Phone (405) 620-4884

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1801963236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 HUNTERS CT",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730344217",
            "telephone_number": "405-553-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 HUNTERS CT",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730344217",
            "telephone_number": "405-553-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH K HARTLEY PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "HARTLEY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-553-1266",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "OK",
            "license": "0777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF OKLAHOMA",
            "identifier": "442546934002",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.