Individual provider Active NPI

Gail Anne Poyner

  • Counseling Psychologist
  • Choctaw, OK
National Provider Identifier
1932141439
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
950 Issued in OK
Practice address
14453 SE 29TH St
Choctaw, OK 73020-6530
Phone
(405) 741-2844
Fax
(405) 733-1334
NPI assigned
Jun 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 950 OK
Counseling Psychologist 103TC1900X 950 OK Primary

Addresses

Primary practice location

14453 SE 29TH St
Choctaw, OK 73020-6530

Mailing address

14453 SE 29TH St
Choctaw, OK 73020-6530
Phone (405) 741-2844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040113000733 OK Practitioner - Clinical Psychologist 6709786783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Oklahoma College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poyner Mental Health ServicesGroup PAC ID 1153779145, 5 clinicians

Practice addresses (Care Compare)

14453 SE 29TH St
Suite D
Choctaw, OK 73020-6543
Phone (405) 741-2844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
950OKMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Poyner Mental Health Services CurrentSince Jun 6, 2024 Accepting new patients

Locations

14453 SE 29th St
Ste D
Choctaw, OK 73020
Phone (405) 741-2844

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1932141439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14453 SE 29TH ST",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730206530",
            "telephone_number": "405-741-2844",
            "fax_number": "405-733-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14453 SE 29TH ST",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730206530",
            "telephone_number": "405-741-2844",
            "fax_number": "405-733-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POYNER",
        "first_name": "GAIL",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OK",
            "license": "950",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "OK",
            "license": "950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Choctaw, OK

Sources for this page

Verify at the official NPI Registry.