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Derivative Psychiatry, Pllc

Psychiatry Physician in Norman, OK · enumerated 2025 · authorized official Jake Johnson, Ceo & Founder.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194617795

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Registry record

Entity type Organization (Type 2)
Legal business name Derivative Psychiatry, Pllc
Practice address 3750 W Main St Ste Aa, Norman, OK, 73072
Enumeration date Jul 17, 2025
Last updated in NPPES Jul 17, 2025

Taxonomy & classification

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Jake Johnson
Title Ceo & Founder

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Derivative Psychiatry, Pllc?
NPPES lists Jake Johnson (Ceo & Founder) as the authorized official for this organization.
What is the NPI number for Derivative Psychiatry, Pllc?
The NPI for Derivative Psychiatry, Pllc is 1194617795, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-07-17.