OrganizationActive
Legacy Therapeutic Services
NPI 1154125755 · Child & Adolescent Psychiatry Physician · Norman, OK
Provider details
- NPI number
- 1154125755
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Cornelius, Ceo(405) 822-8458
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
310 12th Ave Ne
Norman, OK 73071-5238
Phone: (405) 822-8458
Street-level locationGet directions
Mailing address
Po Box 278
Bixby, OK 74008-0278
Registry dates
- Enumerated
- 2025-04-02
- Last updated
- 2025-04-02
- Certified
- 2025-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.