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Active NPI 1003074741 Individual Practitioner Male Practitioner

Dr. Caleb Wayne Lack , PhD

Psychologist - Clinical • Edmond, OK

Professional Overview & Biography Verified Profile Summary

Dr. Caleb Lack, PhD is a registered healthcare professional specializing in Psychologist - Clinical in Edmond, OK. Practice services are available at 7413 OAK AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7413 Oak Ave

Edmond, OK 730349058

Telephone 4055090959

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Edmond, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.3 Yrs
State Avg: 26.8 Yrs
Regional Practice Density
17 Specialists

Practicing in Edmond, OK (284 Statewide)

Telehealth Adoption Rate
5.9% 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 - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License OK 1143

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Psychologist - Clinical

NUCC Taxonomy Code: 103TC0700X

State License AR 07-37P

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location March 21, 2018

Registered at 7413 OAK AVE, EDMOND, OK 730349058 (Tel: 4055090959)

📍
Updated Business Mailing Address March 21, 2018

Registered at 7413 OAK AVE, EDMOND, OK 730349058 (Tel: 4055090959)

NPI Profile Active May 29, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 29, 2008

Registered at 1110 W B ST, SUITE H, RUSSELLVILLE, AR 728013506 (Tel: 4796923702)

📍
Updated Business Mailing Address May 29, 2008

Registered at 1110 W B ST, SUITE H, RUSSELLVILLE, AR 728013506 (Tel: 4796923702)

👤
Provider Name / Credentials Updated May 29, 2008

Recorded as CALEB LACK, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2008

Psychologist (License #07-37P in AR)

🟢
Initial NPI Registration & Enumeration May 29, 2008

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: 1003074741
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2008
Last Update: March 21, 2018
Sole Proprietor: Yes

Mailing Address

7413 Oak Ave

Edmond, OK 730349058

Phone: 4055090959

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.