NPIMap

Organization Active NPI

Lightwork Psychological Services LLC

  • Clinical Psychologist
  • Moore, OK
National Provider Identifier
1861273674
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
LIGHTWORK PSYCHOLOGICAL SERVICES LLC
Practice address
1111 Magnolia CT Ste 209
Moore, OK 73160-1391
Phone
(405) 256-8230
NPI assigned
Oct 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Authorized official

Name
Dr. Latosha S Ramos Lake, PSYDNPI 1194145854
Title
Licensed Psychologist/Manager
Phone
(785) 220-6088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1111 Magnolia CT Ste 209
Moore, OK 73160-1391

Mailing address

1216 NW 32ND St
Oklahoma City, OK 73118-5607
Phone (785) 220-6088

National Provider Directory

National Provider Directory

Locations

1201 Magnolia Ct
Ste 117
Moore, OK 73160
Phone (405) 221-9573

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1861273674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 NW 32ND ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731185607",
            "telephone_number": "785-220-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MAGNOLIA CT STE 209",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731601391",
            "telephone_number": "405-256-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTWORK PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-08",
        "status": "A",
        "authorized_official_last_name": "RAMOS LAKE",
        "authorized_official_first_name": "LATOSHA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST/MANAGER",
        "authorized_official_telephone_number": "785-220-6088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.