DR. ELISSA MARIE DYER PH.D.
NPI 1801029715
Psychologist - Health Service in Oklahoma City, OK

Q: What is Elissa Dyer's NPI number?

The NPI number for Elissa Dyer is 1801029715. It was assigned to this individual provider in the NPPES registry on August 25, 2009.

Q: What is Elissa Dyer's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Elissa Dyer was last updated on March 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since August 25, 2009PECOS EnrolledAccepts Medicare Assignment

5009 N PENNSYLVANIA AVE STE 116, OKLAHOMA CITY, OK 73112(405) 843-1551(405) 843-1494 Get Directions Write a Review

NPPES record last updated: March 7, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Elissa Marie Dyer Ph.d. NPPES

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

DR. ELISSA MARIE DYER PH.D. (NPI 1801029715) is an individual health service provider in Oklahoma City, Oklahoma, licensed in Oklahoma (1049) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS and is a graduate of University Of Oklahoma College Of Medicine (2006).

NPPES Registry Identity

NPI1801029715

Entity TypeIndividualFemale

Primary Taxonomy103TH0100X

Provider Legal NameDR. ELISSA MARIE DYERCredential: PH.D.

Location Address5009 N PENNSYLVANIA AVE STE 116Oklahoma City, OK 73112-8888

Mailing Address5009 N Pennsylvania Ave Ste 116Oklahoma City, OK 73112-8888 · (405) 843-1551 · Fax (405) 843-1494

Phone(405) 843-1551

Fax(405) 843-1494

Sole ProprietorYes

Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2006

Enumeration DateAugust 25, 2009

Last NPPES UpdateMarch 7, 2014

✔ NPI 1801029715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers

Taxonomy Code103TH0100X

License✔ Licensed in OK · 1049

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).

5009 N PENNSYLVANIA AVE STE 116, Oklahoma City, OK 73112

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Mending Health, Providence Health Plan.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. Elissa Marie Dyer 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 ID1658559646

PECOS Enrollment IDI20110622000058

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 NPPES

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

SALLY RAY LCSW

Social Worker (Clinical)

5009 N PENNSYLVANIA AVE STE 116
OKLAHOMA CITY, OK 73112

Oklahoma County (405) 204-6746

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 Elissa Dyer's NPI number?

The NPI number for Elissa Dyer is 1801029715. It was assigned to this individual provider in the NPPES registry on August 25, 2009.

Where is Elissa Dyer located?

Elissa Dyer practices at 5009 N Pennsylvania Ave Ste 116, Oklahoma City, OK 73112. The listed phone number is (405) 843-1551.

What is Elissa Dyer's specialty?

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

Is Elissa Dyer enrolled in Medicare?

Yes. Elissa Dyer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Elissa Dyer accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Mending Health and Providence Health Plan list Elissa Dyer 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 Elissa Dyer was last updated on March 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.