Foundation Bariatric Hospital of Oklahoma

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

854 Issued in OK

Legal business name

FOUNDATION BARIATRIC HOSPITAL OF OKLAHOMA

Practice address

1800 Renaissance Blvd
Edmond, OK 73013-3023

Phone

(405) 359-2481

Fax

(405) 359-2487

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James Riley Keller, PH.D.

Title

Director, Behavioral Health

Phone

(405) 359-2481

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972646503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20553",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731560553",
            "telephone_number": "405-359-2481",
            "fax_number": "405-359-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 RENAISSANCE BLVD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133023",
            "telephone_number": "405-359-2481",
            "fax_number": "405-359-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION BARIATRIC HOSPITAL OF OKLAHOMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RILEY",
        "authorized_official_title_or_position": "DIRECTOR, BEHAVIORAL HEALTH",
        "authorized_official_telephone_number": "405-359-2481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "OK",
            "license": "854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylie Foster
• Lindsey Foster
• Moreen Foster, LPC
• Richard L Foster, CPO
• Unique Foster
• Foundation Bariatric Hospital of Oklahoma, LLC
• Foundation Medical Staffing
• Foundation Medical Staffing
• Foundation Radiology Group PC
• Foundation Weightwise Services, LLC

• Counseling Psychologist in Edmond, OK
• Providers in Edmond, OK by specialty
• Counseling Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.