Active NPI
John M. Cummins, PH.D.
- Health Service Psychologist
- Skiatook, OK
National Provider Identifier
1821288424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- License
- 1209
- Practice address
- 500 W Rogers Blvd
Suite E
Skiatook, OK 74070-1081 - Phone
- (918) 396-9004
- Fax
- (918) 396-2218
- NPI assigned
- Jul 30, 2007
- Last updated
- Feb 5, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 2-3601 | TX | |
| Health Service Psychologist | 103TH0100X | 1209 | OK | Primary |
Addresses
Primary practice location
500 W Rogers Blvd
Suite E
Skiatook, OK 74070-1081
Mailing address
500 W Rogers Blvd
Suite E
Skiatook, OK 74070-1081
Phone (918) 396-9004
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2-3601 | TX | MD | Counseling Psychologist |
| 1209 | OK | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423094400000",
"number": "1821288424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W ROGERS BLVD",
"address_2": "SUITE E",
"city": "SKIATOOK",
"state": "OK",
"postal_code": "740701081",
"telephone_number": "918-396-9004",
"fax_number": "918-396-2218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W ROGERS BLVD",
"address_2": "SUITE E",
"city": "SKIATOOK",
"state": "OK",
"postal_code": "740701081",
"telephone_number": "918-396-9004",
"fax_number": "918-396-2218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMMINS",
"first_name": "JOHN",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-30",
"last_updated": "2015-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "TX",
"license": "2-3601",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "OK",
"license": "1209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Skiatook, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.