LIFESTANCE HEALTH
NPI 1790186385
Psychologist - Clinical in Moore, OK
NPI Status: Active since September 15, 2014
Contact Information
1105 SW 30TH CT
MOORE, OK
ZIP 73160
Phone: (405) 378-2727
- Organization
- Psychologist
- Clinical
- Accepts Insurance
- CLIA Number: 37D2338867
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-18-2028
About LIFESTANCE HEALTH
This page provides the complete NPI Profile along with additional information for Lifestance Health, a provider established in Moore, Oklahoma operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1790186385 assigned on September 2014. The practitioner's primary taxonomy code is 103TC0700X with license number 27766 (OK). The provider is registered as an organization and their NPI record was last updated 3 years ago. Lifestance Health operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Lifestance Health. The authorized official of this NPI record is Ryan Pardo (Chief Legal Officer)
- NPI
- 1790186385
- Provider Legal Name
- BALANCE WOMEN'S HEALTH, LLC
- Other Organization Name
- LIFESTANCE HEALTH
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1105 SW 30TH CT MOORE, OK 73160
- Location Phone
- (405) 378-2727
- Mailing Address
- 1105 SW 30TH CT MOORE, OK 73160
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-15-2014
- Last Update Date
- 03-28-2023
- Code Navigator
A clinical psychologist like Lifestance Health assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
Location Map
Secondary Locations
- 4013 NW Expressway Ste 105
Oklahoma City, OK 73116
(405) 378-2727 - 6400 S Lewis Ave Ste 100
Tulsa, OK 74136
(405) 378-2727 - 9228 S Mingo Rd Ste 101
Tulsa, OK 74133
(405) 378-2727 - 1108 SW 30th Ct Ste B
Moore, OK 73160
(405) 378-2727 - 1109 SW 30th Ct Ste B
Moore, OK 73160
(405) 378-2727 - 1113 SW 30th Ct Ste B
Moore, OK 73160
(405) 378-2727 - 2908 Astoria Way Ste 100
Edmond, OK 73034
(405) 378-2727 - 2908 Astoria Way Ste 150
Edmond, OK 73034
(405) 378-2727
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 27766
- License State
- OK
- Taxonomy Description
- A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze PPO? 202 - PPO
- Blue Advantage Bronze PPO? 203 - PPO
- Blue Advantage Bronze PPO? Standard - PPO
- Blue Advantage Gold PPO? 309 - PPO
- Blue Advantage Gold PPO? 604 - PPO
- Blue Advantage Gold PPO? Standard - PPO
- Blue Advantage Silver PPO? 204 - PPO
- Blue Advantage Silver PPO? 501 - PPO
- Blue Advantage Silver PPO? Standard - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Preferred Gold PPO? Standard - PPO
- Blue Preferred Security PPO? 200 - PPO
- Blue Preferred Silver PPO? Standard - PPO
- MyBlue Bronze HMO? 902 - HMO
- MyBlue Bronze HMO? 904 - HMO
- MyBlue Bronze HMO? Standard - HMO
- MyBlue Gold HMO? 704 - HMO
- MyBlue Gold HMO? 804 - HMO
- MyBlue Gold HMO? Standard - HMO
- MyBlue Silver HMO? 705 - HMO
- Balance by Medica Bronze $0 Copay PCP Visits - PPO
- Balance by Medica Bronze Premier - PPO
- Balance by Medica Expanded Bronze Standard - PPO
- Balance by Medica Gold $0 Copay PCP Visits - PPO
- Balance by Medica Gold Share - PPO
- Balance by Medica Gold Standard - PPO
- Balance by Medica Silver $0 Copay PCP Visits - PPO
- Balance by Medica Silver Share - PPO
- Balance by Medica Silver Standard - PPO
- Harmony by Medica Bronze $0 Copay PCP Visits - PPO
- Harmony by Medica Bronze $0 Copay PCP Visits + Adult Eye Exam - PPO
- Harmony by Medica Bronze Premier - PPO
- Harmony by Medica Bronze Premier + Adult Eye Exam - PPO
- Harmony by Medica Expanded Bronze Standard - PPO
- Harmony by Medica Expanded Bronze Standard + Adult Eye Exam - PPO
- Harmony by Medica Gold $0 Copay PCP Visits - PPO
- Harmony by Medica Gold $0 Copay PCP Visits + Adult Eye Exam - PPO
- Harmony by Medica Gold Share - PPO
- Harmony by Medica Gold Share + Adult Eye Exam - PPO
- Harmony by Medica Gold Standard - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 37D2338867
- Facility Type
- Physician Office
- Certificate Effective Date
- February 19, 2026
- Certificate Expiration Date
- February 18, 2028
- Laboratory Director
- RACHEL DALTHORP
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Lifestance Health to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for LIFESTANCE HEALTH
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1790186385, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MOORE, OK 73160
MOORE, OK 73160
MOORE, OK 73160
MOORE, OK 73160
MOORE, OK 73160
MOORE, OK 73160
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790186385, enumerated as an "organization" on September 15, 2014.
The provider is located at 1105 SW 30TH CT MOORE, OK 73160 and the phone number is (405) 378-2727.
Psychologist with taxonomy code 103TC0700X and a focus in Clinical.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma and Medica. Please consult your insurance carrier or call the provider to verify.
