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Deactivated NPI 1306806336 Deactivated / Inactive NPI Male Practitioner

Dr. Stephen Radley Close , PhD

Psychologist - Clinical • Enid, 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. Stephen Close has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 24, 2006
NPI Deactivation Date August 27, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Close, PhD was a registered Psychologist - Clinical practicing in Enid, OK. Throughout an active medical career spanning 12 years, Dr. Close provided care at the practice location at 1202 W WILLOW RD until profile deactivation on 2018-08-27.

Historical Medicare Part B clinical services included psychotherapy, psychiatric diagnostic evaluation. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1202 W Willow Rd
Suite B

Enid, OK 737032530

Telephone 5802374100
Fax 5802374109
Associated Practice Facility / Clinic
🏢 The Feldman Group, Inc. Facility NPI 1902036619

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Enid, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.0 Yrs
State Avg: 26.8 Yrs
Regional Practice Density
3 Specialists

Practicing in Enid, OK (284 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
32.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90834 Psychotherapy, 45 minutes
78 11 $125.00 $83.94

Medical Specialties & State Licenses

Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License OK 284

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Lisa Matson , MD

Psychiatry & Neurology - Psychiatry

NPI 1083683569

Doctor of Medicine (M.D.)

Dr. Deborah May , PhD

Psychologist - Health Service

NPI 1962710657

Doctor of Philosophy (Ph.D.)

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 August 27, 2018

Record deactivated on August 27, 2018

NPI Profile Active December 11, 2008

NPI status registered as active in NPPES database

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Updated Practice Location December 11, 2008

Registered at 1202 W WILLOW RD, SUITE B, ENID, OK 737032530 (Tel: 5802374100)

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Updated Business Mailing Address December 11, 2008

Registered at 1202 W WILLOW RD, SUITE B, ENID, OK 737032530 (Tel: 5802374100)

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Provider Name / Credentials Updated December 11, 2008

Recorded as STEPHEN CLOSE, PH.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2008

Psychologist (License #284 in OK)

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Initial NPI Registration & Enumeration March 24, 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: 1306806336
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2006
Last Update: December 11, 2008
Deactivation Date: August 27, 2018

Mailing Address

1202 W Willow Rd, Suite B

Enid, OK 737032530

Phone: 5802374100

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.