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Deactivated NPI 1316961774 Deactivated / Inactive NPI Female Practitioner

Dr. Kathy Lynn Lively , PhD

Psychologist • Cushing, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kathy Lively has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 27, 2006
NPI Deactivation Date January 24, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Kathy Lively, PhD was a registered Psychologist practicing in Cushing, OK. Throughout an active medical career spanning 16 years, Dr. Lively provided care at the practice location at 5505 E W 75TH RD until profile deactivation on 2022-01-24.

Practice Location & Contact Primary Location

Practice Address

5505 E W 75th Rd

Cushing, OK 74023

Telephone 9182250750
Fax 9182250750

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Cushing, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Cushing, OK (284 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License OK 766

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Dena Morgan , BHRS

Community/Behavioral Health

NPI 1154664506
NPI 1154691509

Licensed Professional Counselor

Michelle Boone

Community/Behavioral Health

NPI 1174800460
Jenny Purvis , BHRS

Community/Behavioral Health

NPI 1275818783
Sally Daniel , BHRS

Community/Behavioral Health

NPI 1316350341
Lisa Sadler

Case Management

NPI 1396288254

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 24, 2022

Record deactivated on January 24, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 5505 E W 75TH RD, CUSHING, OK 74023 (Tel: 9182250750)

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Updated Business Mailing Address July 08, 2007

Registered at 5505 E W 75TH RD, CUSHING, OK 74023 (Tel: 9182250750)

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Provider Name / Credentials Updated July 08, 2007

Recorded as KATHY LIVELY, PHD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #766 in OK)

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Initial NPI Registration & Enumeration July 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316961774
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2006
Last Update: July 08, 2007
Deactivation Date: January 24, 2022

Mailing Address

5505 E W 75th Rd

Cushing, OK 74023

Phone: 9182250750

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.