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LIFECHANGE PSYCHOLOGICAL SERVICES, LLC
NPI 1295250207
Clinical Neuropsychologist in Oklahoma City, OK

Active since August 10, 2017
4117 NW 122ND ST STE A1, OKLAHOMA CITY, OK 73120(405) 562-9260(405) 260-9559 Get Directions Write a Review

NPPES record last updated: January 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 23, 2021, Aug 10, 2017 (2 updates tracked since 2017).

About Lifechange Psychological Services, Llc NPPES

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

LIFECHANGE PSYCHOLOGICAL SERVICES, LLC (NPI 1295250207) is a healthcare organization registered as a clinical neuropsychologist in Oklahoma City, Oklahoma and active in the NPI registry since August 2017. The organization lists Chuck Edgington, Owner, as its authorized official.

NPPES Registry Identity

NPI1295250207
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameLIFECHANGE PSYCHOLOGICAL SERVICES, LLC
Location Address4117 NW 122ND ST STE A1Oklahoma City, OK 73120-8819
Mailing Address3612 Lea CtEdmond, OK 73013-8127
Phone(405) 562-9260
Fax(405) 260-9559
Organization SubpartNo
Authorized OfficialChuck EdgingtonOwner · (405) 315-5756
Enumeration DateAugust 10, 2017
Last NPPES UpdateJanuary 23, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2021
✔ NPI 1295250207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in OK · 1088
Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

4117 NW 122ND ST STE A1, Oklahoma City, OK 73120
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Other Identifiers 1

Medicaid200254090AOK

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

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 Lifechange Psychological Services, LLC's NPI number?

The NPI number for Lifechange Psychological Services, LLC is 1295250207. It was assigned to this organization in the NPPES registry on August 10, 2017.

Where is Lifechange Psychological Services, LLC located?

Lifechange Psychological Services, LLC is located at 4117 NW 122nd St Ste A1, Oklahoma City, OK 73120. The listed phone number is (405) 562-9260.

What is Lifechange Psychological Services, LLC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Lifechange Psychological Services, LLC was last updated on January 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.