DR. MONA MCCULLOUGH (PH.D.) – Counseling Psychologist, NPI 1710935010

DR. MONA MCCULLOUGH (PH.D.) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 814 (OK). The NPI Number for DR. MONA MCCULLOUGH (PH.D.) is 1710935010

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. MONA MCCULLOUGH (PH.D.)
NPI
1710935010
Phone
(405) 752-9500
Address
13301 N MERIDIAN AVE
Enumeration Date
5 May 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4053103262
Graduation Year
1994 (32 years ago)
PAC ID
1355480732
Group Practice PAC ID
8628512647
Professional Enrollment ID
I20091124000206
Address ID
OK730696369NO1008XNWXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

196 CLINICAL PSYCHOLOGIST in OK

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Provider Addresses for DR. MONA MCCULLOUGH (PH.D.)

  • 13301, North Meridian Avenue, Oklahoma City, Oklahoma County, Oklahoma, 73120, United States

    BLDG 100

    OKLAHOMA CITY, OK 731209369

    Phone: (405) 752-9500

    Fax: (405) 752-9571

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-11-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091124000206IClinical PsychologistOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73120)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628512647View full group profile
NameSpecialtyState
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Marriage And Family TherapistNM

Reviews

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Frequently asked questions

What is the registry number for DR. MONA MCCULLOUGH (PH.D.)?
The registry entry for DR. MONA MCCULLOUGH (PH.D.) shows NPI 1710935010.
Is DR. MONA MCCULLOUGH (PH.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. MONA MCCULLOUGH (PH.D.) as active.
What services align with DR. MONA MCCULLOUGH (PH.D.)'s listing?
DR. MONA MCCULLOUGH (PH.D.)'s public classification highlights Counseling Psychologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. MONA MCCULLOUGH (PH.D.)?
DR. MONA MCCULLOUGH (PH.D.) is associated with Oklahoma City, Oklahoma in the same public data insurers reference.
Why is information missing for DR. MONA MCCULLOUGH (PH.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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