Individual provider Active NPI

Mary Marguerite Langille-Hoppe, PSYD

  • Clinical Psychologist
  • Shawnee, OK
National Provider Identifier
1992073050
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1182 Issued in OK
Practice address
318 N Broadway Ave
Shawnee, OK 74801-6920
Phone
(405) 698-0628
Fax
(918) 512-4741
NPI assigned
Dec 5, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1182 OK Primary

Addresses

Primary practice location

318 N Broadway Ave
Shawnee, OK 74801-6920

Mailing address

318 N Broadway Ave
Shawnee, OK 74801-6920
Phone (405) 698-0628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1182OKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Assessment and Therapy Services Clinical Past Accepting new patients

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": "1323043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380844800000",
    "number": "1992073050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 N BROADWAY AVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748016920",
            "telephone_number": "405-698-0628",
            "fax_number": "918-512-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 N BROADWAY AVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748016920",
            "telephone_number": "405-698-0628",
            "fax_number": "918-512-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGILLE-HOPPE",
        "first_name": "MARY",
        "middle_name": "MARGUERITE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-05",
        "last_updated": "2013-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OK",
            "license": "1182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.