DR. TIMOTHY JAMES RANDALL LITTLE PH.D.
NPI 1730806696
Psychologist - Addiction (Substance Use Disorder) in Oklahoma City, OK

Active since October 21, 2022PECOS EnrolledAccepts Medicare Assignment
920 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104(405) 271-8000 Get Directions Write a Review

NPPES record last updated: October 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Timothy James Randall Little Ph.d. NPPES

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

DR. TIMOTHY JAMES RANDALL LITTLE PH.D. (NPI 1730806696) is an individual addiction (substance use disorder) provider in Oklahoma City, Oklahoma and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS and is a graduate of University Of Nebraska College Of Medicine (2021).

NPPES Registry Identity

NPI1730806696
Entity TypeIndividualMale
Primary Taxonomy103TA0400X
Provider Legal NameDR. TIMOTHY JAMES RANDALL LITTLECredential: PH.D.
Location Address920 STANTON L YOUNG BLVDOklahoma City, OK 73104-5036
Mailing Address4416 N Barnes AveOklahoma City, OK 73112-8818
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2021
Enumeration DateOctober 21, 2022
NPPES CertifiedOctober 21, 2022
NPI 1730806696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code103TA0400X
Definition

A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.

920 STANTON L YOUNG BLVD, Oklahoma City, OK 73104

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Timothy James Randall Little Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678928595
PECOS Enrollment IDI20231012003602
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Anesthetist, Certified Registered
920 STANTON L YOUNG BLVD, WP 2530
OKLAHOMA CITY, OK 73104
Anesthesiology
920 STANTON L YOUNG BLVD, WP2530
OKLAHOMA CITY, OK 73104
Nurse Anesthetist, Certified Registered
920 STANTON L YOUNG BLVD, WP2530
OKLAHOMA CITY, OK 73104
Nurse Anesthetist, Certified Registered
920 STANTON L YOUNG BLVD, WP 2530
OKLAHOMA CITY, OK 73104
Nurse Anesthetist, Certified Registered
920 STANTON L YOUNG BLVD, WP 2530
OKLAHOMA CITY, OK 73104
Obstetrics & Gynecology
920 STANTON L YOUNG BLVD, WP2410
OKLAHOMA CITY, OK 73104
Nurse Anesthetist, Certified Registered
920 STANTON L YOUNG BLVD, WP 2530
OKLAHOMA CITY, OK 73104
Nurse Anesthetist, Certified Registered
920 STANTON L YOUNG BLVD, WP 2530
OKLAHOMA CITY, OK 73104
Psychiatry & Neurology (Child & Adolescent Psychiatry)
920 STANTON L YOUNG BLVD, WP3240
OKLAHOMA CITY, OK 73104
Psychologist
920 STANTON L YOUNG BLVD, WP3240
OKLAHOMA CITY, OK 73104
Psychiatry & Neurology (Psychiatry)
920 STANTON L YOUNG BLVD, WP3240
OKLAHOMA CITY, OK 73104
Psychologist
920 STANTON L YOUNG BLVD, WP3240
OKLAHOMA CITY, OK 73104
Psychiatry & Neurology (Psychiatry)
920 STANTON L YOUNG BLVD, WP3240
OKLAHOMA CITY, OK 73104
Psychiatry & Neurology (Psychiatry)
920 STANTON L YOUNG BLVD, WP3240
OKLAHOMA CITY, OK 73104
Psychiatry & Neurology (Psychiatry)
920 STANTON L YOUNG BLVD, WP3240
OKLAHOMA CITY, OK 73104
Psychiatry & Neurology (Psychiatry)
920 STANTON L YOUNG BLVD, WP3240
OKLAHOMA CITY, OK 73104
Anesthesiology
920 STANTON L YOUNG BLVD, WP 2530
OKLAHOMA CITY, OK 73104
Nurse Anesthetist, Certified Registered
920 STANTON L YOUNG BLVD, WP2530
OKLAHOMA CITY, OK 73104
Otolaryngology
920 STANTON L YOUNG BLVD, WP 1290
OKLAHOMA CITY, OK 73104
Psychiatry & Neurology (Psychiatry)
920 STANTON L YOUNG BLVD, WP 3440
OKLAHOMA CITY, OK 73104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730806696, enumerated as an "individual" on October 21, 2022.

The provider is located at 920 STANTON L YOUNG BLVD OKLAHOMA CITY, OK 73104 and the phone number is (405) 271-8000.

Psychologist with taxonomy code 103TA0400X and a focus in Addiction (Substance Use Disorder).

The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma, Medica,. Please consult your insurance carrier or call the provider to verify.