Active NPI
Angela Musilla
- Behavior Analyst
- Edmond, OK
National Provider Identifier
1992124192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 101Y00000
- Practice address
- 1732 S Kelly Ave
Edmond, OK 73013-3630 - Phone
- (405) 844-8085
- NPI assigned
- Apr 15, 2014
- Last updated
- Apr 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 101Y00000 | OK | Primary |
Addresses
Primary practice location
1732 S Kelly Ave
Edmond, OK 73013-3630
Mailing address
805 Douglas Ave
Sand Springs, OK 74063-7419
Phone (918) 815-4195
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1323 E 71St St
Tulsa, OK 74136-5045
Phone 91849225542551
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101Y00000 | OK | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling & Recovery Services of Oklahoma, Inc. | Current | Accepting new patients |
Locations
1323 E 71st St
Tulsa, OK 74136
Phone 91849225542551
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.
-
- Community/Behavioral Health Agency
- Tulsa, OK
- NPI 1023172012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397520000000",
"number": "1992124192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 DOUGLAS AVE",
"city": "SAND SPRINGS",
"state": "OK",
"postal_code": "740637419",
"telephone_number": "918-815-4195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1732 S KELLY AVE",
"city": "EDMOND",
"state": "OK",
"postal_code": "730133630",
"telephone_number": "405-844-8085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSILLA",
"first_name": "ANGELA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-15",
"last_updated": "2014-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OK",
"license": "101Y00000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.