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LEGACY THERAPEUTIC SERVICES
NPI 1154125755
Psychiatry & Neurology - Child & Adolescent Psychiatry in Norman, OK

Active since April 02, 2025
310 12TH AVE NE, NORMAN, OK 73071(405) 822-8458 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Legacy Therapeutic Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEGACY THERAPEUTIC SERVICES (NPI 1154125755) is a healthcare organization registered as a child & adolescent psychiatry in Norman, Oklahoma and active in the NPI registry since April 2025. The organization lists Robert Cornelius, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154125755
Entity TypeOrganization
Primary Taxonomy2084P0804X
Legal Business NameLEGACY THERAPEUTIC SERVICES
Location Address310 12TH AVE NENorman, OK 73071-5238
Mailing AddressPo Box 278Bixby, OK 74008-0278 · (405) 822-8458
Phone(405) 822-8458
Organization SubpartNo
Authorized OfficialRobert CorneliusCeo · (405) 822-8458
Enumeration DateApril 2, 2025
NPPES CertifiedApril 2, 2025
✔ NPI 1154125755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
310 12TH AVE NE, Norman, OK 73071
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIFFANY JUPIN
Counselor (Mental Health)
310 12TH AVE NE
NORMAN, OK 73071
Cleveland County (405) 217-8400
AKEEM LAVOLL
Counselor (Mental Health)
310 12TH AVE NE
NORMAN, OK 73071
Cleveland County (405) 217-8400
NICOLE WILLIAMS
Counselor (Mental Health)
310 12TH AVE NE
NORMAN, OK 73071
Cleveland County (405) 217-8400
DONAVIN JAMES WILLMAN
Case Manager/Care Coordinator
310 12TH AVE NE
NORMAN, OK 73071
Cleveland County (405) 477-1938
JASMINE JACKSON
Counselor (Mental Health)
310 12TH AVE NE
NORMAN, OK 73071
Cleveland County (405) 217-8400
MICHEAL DEWAYNE FRAZIER II
Case Manager/Care Coordinator
310 12TH AVE NE
NORMAN, OK 73071
Cleveland County (572) 273-6870
REBECCA WILSON
Counselor (Mental Health)
310 12TH AVE NE
NORMAN, OK 73071
Cleveland County (405) 217-8400
KATELYN GLEASON BHRS
Counselor (Mental Health)
310 12TH AVE NE
NORMAN, OK 73071
Cleveland County (405) 217-8400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Legacy Therapeutic Services's NPI number?

The NPI number for Legacy Therapeutic Services is 1154125755. It was assigned to this organization in the NPPES registry on April 2, 2025.

Where is Legacy Therapeutic Services located?

Legacy Therapeutic Services is located at 310 12th Ave NE, Norman, OK 73071. The listed phone number is (405) 822-8458.

What is Legacy Therapeutic Services's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Legacy Therapeutic Services was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.