JOHN M. CUMMINS, Ph.D. — NPI 1821288424 (Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Health Service in SKIATOOK, OK)

CMS-1500 Box 24J / 33a • NPI

1821288424

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

103TH0100X (CMS 62)

Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Health Service

Box 32 Service Location & ZIP+4

500 W ROGERS BLVD, SUITE E, SKIATOOK, OK, 74070-1081

✓ 9-Digit EDI 837 ZIP+4 (74070-1081)

Practice Phone & Referral Fax

(918) 396-9004

Fax: (918) 396-2218

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1821288424 (JOHN M. CUMMINS, Ph.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1821288424` (NPI-1 Individual Practitioner)
Provider / Legal Name	JOHN M. CUMMINS, Ph.D.
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Health Service NUCC Code: `103TH0100X` (Psychologist, Health Service)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	500 W ROGERS BLVD, SUITE E, SKIATOOK, OK, 74070-1081
Practice Telephone / Fax	Tel: (918) 396-9004 \| Fax: (918) 396-2218
Administrative Mailing Address	500 W ROGERS BLVD, SKIATOOK, OK, 74070-1081
Enumeration & Last Sync	Enumerated: 2007-07-30 \| CMS Record Updated: 2015-02-05

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

500 W ROGERS BLVD, SUITE E, SKIATOOK, OK, 74070-1081

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Plain-English Taxonomy & CMS Crosswalk (103TH0100X)

What Does Taxonomy Code 103TH0100X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TH0100X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Health Service"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 62 (Psychologist, Clinical)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Psychologist, Health Service for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JOHN M. CUMMINS, Ph.D.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103TH0100X` — Psychologist, Health Service Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Health Service	State: OK \| License: `1209` \| Primary: Yes (Primary)
`103TC1900X` — Psychologist, Counseling Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Counseling	State: TX \| License: `2-3601` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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JOHN M. CUMMINS, Ph.D. (NPI #1821288424)