NPIMap

Organization Active NPI

Bart Trentham, PLLC

  • Psychologist
  • Tulsa, OK
National Provider Identifier
1881917151
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
763 Issued in OK
Legal business name
BART TRENTHAM, PLLC
Practice address
4870 S Lewis Ave -180 Tuls.
Tulsa, OK 74105
Phone
(918) 628-7277
Fax
(918) 742-7677
NPI assigned
Mar 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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

Authorized official

Name
Mr. Barton Jay Trentham, PH.D
Title
Sole Owner
Phone
(918) 628-7277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 763 OK Primary

Addresses

Primary practice location

4870 S Lewis Ave -180 Tuls.
Tulsa, OK 74105

Mailing address

4870 S Lewis Ave -180
Tulsa, OK 74105
Phone (918) 628-7277

Other identifiers 2

IdentifierTypeStateIssuer
100840760DMedicaidOK
100667880AMedicaidOK

National Provider Directory

National Provider Directory

Locations

4870 S Lewis Ave
Ste 205
Tulsa, OK 74105
Phone (918) 745-9233

5350 S Peoria Ave
Tulsa, OK 74105
Phone (918) 537-0050

4870 S Lewis Ave
Ste 180
Tulsa, OK 74105
Phone (918) 628-7277

Practitioners & affiliated clinicians

Practitioners 7

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": "1267401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267401600000",
    "number": "1881917151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4870 S LEWIS AVE -180",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74105",
            "telephone_number": "918-628-7277",
            "fax_number": "918-742-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4870 S LEWIS AVE -180 TULS.",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74105",
            "telephone_number": "918-628-7277",
            "fax_number": "918-742-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BART TRENTHAM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-01",
        "last_updated": "2010-03-01",
        "status": "A",
        "authorized_official_last_name": "TRENTHAM",
        "authorized_official_first_name": "BARTON",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "918-628-7277",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "OK",
            "license": "763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100840760D",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100667880A",
            "state": "OK"
        }
    ],
    "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 Mar 1, 2010; 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.