Organization Active NPI

Insight Psychological Services

  • Clinical Psychologist
  • Tulsa, OK
National Provider Identifier
1881049674
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1247 Issued in OK
Legal business name
INSIGHT PSYCHOLOGICAL SERVICES
Practice address
5230 E 69TH PL
Tulsa, OK 74136-3407
Phone
(304) 710-1678
NPI assigned
Apr 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Authorized official

Name
Nathan Brusich, PSY.D.NPI 1518339829
Title
Psychologist/Owner
Phone
(304) 710-1678

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 1247 OK Primary

Addresses

Primary practice location

5230 E 69TH PL
Tulsa, OK 74136-3407

Mailing address

5230 E 69TH PL
Tulsa, OK 74136-3407

National Provider Directory

National Provider Directory

Locations

5230 E 69th Pl
Tulsa, OK 74136
Phone (304) 710-1678

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": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1881049674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 E 69TH PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 E 69TH PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363407",
            "telephone_number": "304-710-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "BRUSICH",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "304-710-1678",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OK",
            "license": "1247",
            "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 Apr 28, 2016; 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.