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DERIVATIVE PSYCHIATRY, PLLC
NPI 1194617795
Psychiatry & Neurology - Psychiatry in Norman, OK

Active since July 17, 2025
3750 W MAIN ST STE AA, NORMAN, OK 73072(405) 928-9438 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Derivative Psychiatry, Pllc NPPES

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

DERIVATIVE PSYCHIATRY, PLLC (NPI 1194617795) is a healthcare organization registered as a psychiatry in Norman, Oklahoma and active in the NPI registry since July 2025. The organization lists Jake Henry Johnson, Ceo & Founder, as its authorized official.

NPPES Registry Identity

NPI1194617795
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameDERIVATIVE PSYCHIATRY, PLLC
Location Address3750 W MAIN ST STE AANorman, OK 73072-4645
Mailing Address3750 W Main St Ste AaNorman, OK 73072-4645
Phone(405) 928-9438
Organization SubpartNo
Authorized OfficialJake Henry JohnsonCeo & Founder · (480) 290-4385
Enumeration DateJuly 17, 2025
NPPES CertifiedJuly 17, 2025
✔ NPI 1194617795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
3750 W MAIN ST STE AA, Norman, OK 73072
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

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

SHANE RAY WILSON LPC,LADC
Counselor (Professional)
3750 W MAIN ST STE AA
NORMAN, OK 73072
Cleveland County (405) 474-9374
JENNIFER LASSETER
Counselor (Professional)
3750 W MAIN ST STE AA
NORMAN, OK 73072
Cleveland County (405) 679-5421
SERENITY WELLNESS CENTER
Psychiatry & Neurology (Psychiatry)
3750 W MAIN ST STE AA
NORMAN, OK 73072
Cleveland County (405) 790-0500
KARLEEN TALLEY DAUGHERTY MSW
Social Worker (Clinical)
3750 W MAIN ST STE AA
NORMAN, OK 73072
Cleveland County (405) 364-6233
LACY BONHAM
Counselor (Mental Health)
3750 W MAIN ST STE AA
NORMAN, OK 73072
Cleveland County (405) 824-8378
COMMUNITY PUBLIC HEALTH, LLC
Community/Behavioral Health
3750 W MAIN ST STE AA
NORMAN, OK 73072
Cleveland County (405) 653-0641
SUSAN TAFT MARCUS-MENDOZA PHD
Psychologist
3750 W MAIN ST STE AA
NORMAN, OK 73072
Cleveland County (405) 627-1720
LAURA WALKER BA
Counselor (Professional)
3750 W MAIN ST STE AA
NORMAN, OK 73072
Cleveland County (405) 863-1808

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 Derivative Psychiatry, PLLC's NPI number?

The NPI number for Derivative Psychiatry, PLLC is 1194617795. It was assigned to this organization in the NPPES registry on July 17, 2025.

Where is Derivative Psychiatry, PLLC located?

Derivative Psychiatry, PLLC is located at 3750 W Main St Ste Aa, Norman, OK 73072. The listed phone number is (405) 928-9438.

What is Derivative Psychiatry, PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Derivative Psychiatry, PLLC was last updated on July 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.