Tulsa Professional Psychology, PLLC
NPI 1629569264 · Health Service Psychologist · Tulsa, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tulsa Professional Psychology, PLLC is a Health Service Psychologist organization in Tulsa, OK (NPI 1629569264).
Provider details
- NPI number
- 1629569264
- Entity type
- Organization
- Primary specialty
- Health Service PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Timothy Doty, Co-President(918) 878-8072
- License
- 1225 (OK)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs 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
Mailing address
Other names (DBA / former)
- Doing business as
- Green Country Psychology
Registry dates
- Enumerated
- 2018-05-18
- Last updated
- 2018-05-18
Frequently asked questions
- What is Tulsa Professional Psychology, PLLC's NPI number?
- Tulsa Professional Psychology, PLLC's National Provider Identifier (NPI) is 1629569264, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tulsa Professional Psychology, PLLC?
- Tulsa Professional Psychology, PLLC is classified in the NPPES registry as Health Service Psychologist (Behavioral Health & Social Service Providers).
- Where is Tulsa Professional Psychology, PLLC located?
- Tulsa Professional Psychology, PLLC's practice location on file with NPPES is 3144 S Winston Ave Ste a, Tulsa, OK 74135-2012.
- What is Tulsa Professional Psychology, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Tulsa Professional Psychology, PLLC is (918) 878-8072.
- Does Tulsa Professional Psychology, PLLC accept Medicare?
- Tulsa Professional Psychology, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tulsa Professional Psychology, PLLC?
- The authorized official listed on Tulsa Professional Psychology, PLLC's NPPES record is Timothy Doty, Co-President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tulsa Professional Psychology, PLLC's NPI active?
- Yes — Tulsa Professional Psychology, PLLC's NPI (1629569264) is active in the NPPES registry as of the last update on 2018-05-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.