GREEN COUNTRY PSYCHOLOGY
NPI 1629569264
Psychologist - Health Service in Tulsa, OK
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
Specialties & Licenses 3
Other Names 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Green Country Psychology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Green Country Psychology, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Tulsa Professional Psychology, PLLC enrolled in Medicare?
Yes. Tulsa Professional Psychology, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tulsa Professional Psychology, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Tulsa Professional Psychology, PLLC, in Clinical Psychologist and Mental Health Counselor. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Green Country Psychology · NPI 1629569264
Health Service organization in Tulsa, Oklahoma. Organization record, active in the CMS NPPES registry since May 18, 2018.
## Identity
- **NPI:** 1629569264 (Entity type: Organization)
- **Enumerated:** May 18, 2018
- **Primary specialty:** Psychologist - Health Service · taxonomy 103TH0100X
- **Legal business name:** Tulsa Professional Psychology, Pllc
- **Organization subpart:** No
- **Authorized official:** Timothy Doty, CO-PRESIDENT
## Practice location
- **Address:** 3144 S WINSTON AVE STE A, Tulsa, OK 74135-2012
- **Phone:** (918) 878-8072 · **Fax:** (918) 878-8072
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Psychologist (1), Mental Health Counselor (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 18, 2018
- **Other identifiers:** Medicaid 200460890B (OK); Medicaid 200466160A (OK)
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Source: [NPI Profile](https://npiprofile.com/npi/1629569264) · Data from the CMS NPPES public registry.