Organization Active NPI

Judith K. Adams, Inc.

  • Psychologist
  • Tulsa, OK
National Provider Identifier
1962663856
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
388 Issued in OK
Legal business name
JUDITH K. ADAMS, INC.
Practice address
9726 East 42ND Street So.
Suite 106
Tulsa, OK 74146-3673
Phone
(918) 712-7711
Fax
(918) 712-8865
NPI assigned
Jun 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Authorized official

Name
Ms. Judith Karen Adams, PH.D., LMFT, LADCNPI 1326103086
Title
Ceo
Phone
(918) 712-7711

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 388 OK Primary

Addresses

Primary practice location

9726 East 42ND Street So.
Suite 106
Tulsa, OK 74146-3673

Mailing address

9726 East 42ND Street So.
Suite 106
Tulsa, OK 74146-3673
Phone (918) 712-7711

Other identifiers 1

IdentifierTypeStateIssuer
100842090EMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111028000240 OK Part B Supplier - Clinic/Group Practice 6901079417 Receives reassigned benefits from 1 practitioner
Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory

Locations

9726 E 42nd St
Ste 106
Tulsa, OK 74146
Phone (918) 712-7711

Practitioners & affiliated clinicians

Practitioners 2

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": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1962663856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9726 EAST 42ND STREET SO.",
            "address_2": "SUITE 106",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741463673",
            "telephone_number": "918-712-7711",
            "fax_number": "918-712-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9726 EAST 42ND STREET SO.",
            "address_2": "SUITE 106",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741463673",
            "telephone_number": "918-712-7711",
            "fax_number": "918-712-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDITH K. ADAMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "KAREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-712-7711",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PH.D., LMFT, LADC"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "OK",
            "license": "388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100842090E",
            "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 May 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.