Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1467342568 Individual Practitioner Male Practitioner

Ryan Tack

Psychologist • Tulsa, OK

Professional Overview & Biography Verified Profile Summary

Ryan Tack is a registered healthcare professional specializing in Psychologist in Tulsa, OK. Practice services are available at 5350 S PEORIA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5350 S Peoria Ave

Tulsa, OK 741056839

Telephone 9187491991
Associated Practice Facility / Clinic
🏢 Urosource Medical Llc Facility NPI 1194078535

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Tulsa, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.8 Yrs
State Avg: 27.1 Yrs
Regional Practice Density
66 Specialists

Practicing in Tulsa, OK (284 Statewide)

Telehealth Adoption Rate
6.1% 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

CMS Verified: 2026-08-07
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

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

4 Associated Practitioners
Jenny Martin

Counselor

NPI 1366057374
Brandon Trentham

Community Health Worker

NPI 1497562441
Sara Haas

Counselor

NPI 1558137471
Leanne Campbell

Counselor - Mental Health

NPI 1902406218

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location August 07, 2026

Registered at 5350 S PEORIA AVE, TULSA, OK 741056839 (Tel: 9187491991)

NPI Profile Active July 09, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2025

Registered at 7146 S BRADEN AVE STE 700, TULSA, OK 741366335 (Tel: 9188788072)

📍
Updated Business Mailing Address July 09, 2025

Registered at 2003 DORCHESTER DR, LEBANON, TN 370908306 (Tel: 6159793344)

👤
Provider Name / Credentials Updated July 09, 2025

Recorded as RYAN TACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2025

Psychologist

🟢
Initial NPI Registration & Enumeration July 09, 2025

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: 1467342568
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 09, 2025
Last Update: August 07, 2026
Sole Proprietor: No

Mailing Address

2003 Dorchester Dr

Lebanon, TN 370908306

Phone: 6159793344

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.