GREEN COUNTRY PSYCHOLOGY
NPI 1629569264
Psychologist - Health Service in Tulsa, OK

Active since May 18, 2018
3144 S WINSTON AVE STE A, TULSA, OK 74135(918) 878-8072(918) 878-8072 Get Directions Write a Review

NPPES record last updated: May 18, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Green Country Psychology NPPES

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

GREEN COUNTRY PSYCHOLOGY (NPI 1629569264) is a healthcare organization registered as a health service in Tulsa, Oklahoma and active in the NPI registry since May 2018. The organization lists Timothy Doty, Co-president, as its authorized official.

NPPES Registry Identity

NPI1629569264
Entity TypeOrganization
Primary Taxonomy103TH0100X
Legal Business NameTULSA PROFESSIONAL PSYCHOLOGY, PLLC
Location Address3144 S WINSTON AVE STE ATulsa, OK 74135-2012
Mailing Address1745 S Canton AveTulsa, OK 74112-6937 · (918) 878-8072
Fax(918) 878-8072
Organization SubpartNo
Authorized OfficialTimothy DotyCo-president · (918) 878-8072
Enumeration DateMay 18, 2018
NPI 1629569264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
Licenses Licensed in OK · 1118 Licensed in OK · 1225
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 1118 (OK), 1225 (OK)
Also ListedPsychologist · ForensicTaxonomy 103TF0200X · License 1118 (OK)
3144 S WINSTON AVE STE A, Tulsa, OK 74135

Other Names 1

Doing Business AsGreen Country Psychology

Other Identifiers 2

Medicaid200460890BOK
Medicaid200466160AOK

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

Accepted Insurance

Other Providers at the Same Location NPPES

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

Psychologist
3144 S WINSTON AVE STE A
TULSA, OK 74135

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 Tulsa Professional Psychology, PLLC's NPI number?

The NPI number for Tulsa Professional Psychology, PLLC is 1629569264. It was assigned to this organization in the NPPES registry on May 18, 2018. The provider is doing business as Green Country Psychology.

Where is Tulsa Professional Psychology, PLLC located?

Tulsa Professional Psychology, PLLC is located at 3144 S Winston Ave Ste A, Tulsa, OK 74135. The listed phone number is (918) 878-8072.

What is Tulsa Professional Psychology, PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

What insurance does Tulsa Professional Psychology, PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Tulsa Professional Psychology, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tulsa Professional Psychology, PLLC was last updated on May 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.