Douglas Stephen Southern, PHD
NPI 1043407190ActiveIndividual· Psychologist· Norman, OK
Psychologist (PHD) with Absentee Shawnee Tribal Health Authority, Inc, practicing in Norman, Oklahoma. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1043407190 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Oct 2, 2007 |
| Last updated in NPPES | Mar 25, 2026 |
| Certified by provider | Mar 25, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 1445 | OK |
| Counselor, Professional | 101YP2500X | 0128981 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (OK) |
|---|
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Absentee Shawnee Tribal Health Authority, IncNorman, OK · 83 clinicians
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