Healthcare Provider Details

I. General information

NPI: 1679641013
Provider Name (Legal Business Name): MACARTHUR MEDICAL & PSYCHOTHERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7317 N MACARTHUR BLVD
OKLAHOMA CITY OK
73132-5727
US

IV. Provider business mailing address

7317 N MACARTHUR BLVD
OKLAHOMA CITY OK
73132-5727
US

V. Phone/Fax

Practice location:
  • Phone: 405-721-0094
  • Fax: 405-728-2864
Mailing address:
  • Phone: 405-721-0094
  • Fax: 405-728-2864

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number700
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number585
License Number StateOK
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number869
License Number StateOK
# 4
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2270
License Number StateOK
# 5
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3615
License Number StateOK

VIII. Authorized Official

Name: ELAINE KAY HALL
Title or Position: PRESIDENT
Credential:
Phone: 405-721-0094