MEDICARE: GEORGE MICHAEL KAMPSCHAEFER PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	375	OK
2	103TB0200X	Cognitive & Behavioral Psychologist	375	OK
3	103TC0700X	Clinical Psychologist	375	OK
4	103TC1900X	Counseling Psychologist	375	OK
5	103TC2200X	Clinical Child & Adolescent Psychologist	375	OK
6	103TF0000X	Family Psychologist	375	OK
7	103TP0814X	Psychoanalysis Psychologist	375	OK

General Provider Information

NPI Number	:	1689630279
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE MICHAEL KAMPSCHAEFER PSY.D.

Provider Business Mailing Address
First Line	:	1900 NW EXPRESSWAY ST
Second Line	:	SUITE 900
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73118-1802
Country	:	US
Telephone Number	:	405-810-1133
Fax Number	:	405-810-1155

Provider Business Practice Location Address
First Line	:	1900 NW EXPRESSWAY ST
Second Line	:	SUITE 900
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73118-1802
Country	:	US
Telephone Number	:	405-810-1133
Fax Number	:	405-810-1155

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2006
Last Update Date	:	09/11/2025

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Directions to “ GEORGE MICHAEL KAMPSCHAEFER PSY.D.” Practice Location

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