Active NPI
Nic Gotcher, PHD, HSP
- Psychologist
- Edmond, OK
National Provider Identifier
1871908822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1205
- Practice address
- 1900 E 15TH St Ste 800B
Edmond, OK 73013-6682 - Phone
- (405) 455-6868
- Fax
- (405) 562-3444
- NPI assigned
- Jun 29, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Psychologist | 103T00000X | 1205 | OK | Primary |
Addresses
Primary practice location
1900 E 15TH St Ste 800B
Edmond, OK 73013-6682
Mailing address
1900 E 15TH St Ste 800B
Edmond, OK 73013-6682
Phone (405) 455-6868
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1205 | OK | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698364800000",
"number": "1871908822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 E 15TH ST STE 800B",
"city": "EDMOND",
"state": "OK",
"postal_code": "730136682",
"telephone_number": "405-455-6868",
"fax_number": "405-562-3444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 E 15TH ST STE 800B",
"city": "EDMOND",
"state": "OK",
"postal_code": "730136682",
"telephone_number": "405-455-6868",
"fax_number": "405-562-3444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOTCHER",
"first_name": "NIC",
"name_prefix": "Dr.",
"credential": "PHD, HSP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-29",
"last_updated": "2023-10-27",
"certification_date": "2023-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OK",
"license": "1205",
"primary": true
}
],
"identifiers": [],
"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 Oct 27, 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.