MEDICARE: PSYCHOTHERAPY & DIAGNOSTIC SERVICES, INC.

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	103TC1900X	Counseling Psychologist	493	OK
2	101YM0800X	Mental Health Counselor	115	OK

General Provider Information

NPI Number	:	1427000843
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PSYCHOTHERAPY & DIAGNOSTIC SERVICES, INC.

Provider Business Mailing Address
First Line	:	1818 W. LINDSEY ST
Second Line	:	SUITE C-120
City	:	NORMAN
State	:	OK
Zip	:	73069-4169
Country	:	US
Telephone Number	:	405-366-8828
Fax Number	:	405-325-1478

Provider Business Practice Location Address
First Line	:	1818 W LINDSEY ST
Second Line	:	SUITE C-120
City	:	NORMAN
State	:	OK
Zip	:	73069-4159
Country	:	US
Telephone Number	:	405-366-8828
Fax Number	:	405-325-1478

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. MICHAEL F. DAVES
Credential	:	PH.D.
Telephone Number	:	405-366-8828

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	09/11/2025

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