Individual provider Active NPI

Sean West Ferrell, PH.D

  • Psychologist
  • Oklahoma City, OK
National Provider Identifier
1942246228
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
5100 N Brookline Ave
950
Oklahoma City, OK 73112-3623
Phone
(405) 604-3170
Fax
(405) 948-2745
NPI assigned
Jun 22, 2006
Last updated
Mar 23, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

5100 N Brookline Ave
950
Oklahoma City, OK 73112-3623

Mailing address

5300 N Independence Ave
280
Oklahoma City, OK 73112-5556
Phone (405) 604-3170

Other practice location 1

5100 N Brookline Ave
950
Oklahoma City, OK 73112-3623
Phone (405) 717-9840

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
I20050316000968 OK Practitioner - Clinical Psychologist 9537118260 Reassigns benefits to 1 organization
Practice locations: Edmond, OK

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Primary Care PLLC CurrentSince Jul 11, 2025 Accepting new patients

Locations

1501 E 19th St
Edmond, OK 73013
Phone (405) 348-6611

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521763200000",
    "number": "1942246228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N INDEPENDENCE AVE",
            "address_2": "280",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125556",
            "telephone_number": "405-604-3170",
            "fax_number": "405-948-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 N BROOKLINE AVE",
            "address_2": "950",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731123623",
            "telephone_number": "405-604-3170",
            "fax_number": "405-948-2745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5100 N Brookline Ave",
            "address_2": "950",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731123623",
            "country_code": "US",
            "telephone_number": "405-717-9840",
            "fax_number": "405-942-4790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERRELL",
        "first_name": "SEAN",
        "middle_name": "WEST",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2018-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.