NPPES file of Aug 9, 2026

Edison Dale Jeffus, PHD

Clinical Neuropsychologist · Tulsa, OK

Edison Dale Jeffus, PHD is a clinical neuropsychologist with a practice address in Tulsa, Oklahoma, and NPI 1407905284, issued on Jan 9, 2007. Check the license (Oklahoma 636, as entered in NPPES) with the Oklahoma board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1407905284
Name
Edison Dale Jeffus
Credential
PHD
Primary taxonomy
Clinical Neuropsychologist 103G00000X
License number
636 OK
Self-reported in NPPES; status is on the state search
Practice location
3220 S Peoria Ave, Tulsa, OK 74105
Phone
(918) 749-5506
Enumerated
Jan 9, 2007
Record last updated
Dec 28, 2011 (not updated in 15 years: call before relying on the address or phone)
Fax
(918) 749-5506
Medicare enrollment
Enrolled (PECOS I20120224000333); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Edison Dale Jeffus in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Oklahoma board licenses this profession
    Search for license 636
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Oklahoma license search

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Edison Dale Jeffus among 30 clinical neuropsychologist records in Oklahoma

Edison Dale Jeffus, PHD is one of 30 clinical neuropsychologist records with a practice address in Oklahoma. 27% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2007, is newer than 47% of them.

  • NPI issued2007 · 47% of these records are older, 50% newer
  • In a Medicare fileNo · 27% of these records are
  • In the CMS Doctors and Clinicians fileYes · 53% of these records are
  • Graduated1990 · median 2004 among the 16 with a school on file
  • Record last updated2011 · 60% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103G00000X and a Oklahoma practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Clinical Neuropsychologist providers in Oklahoma

There are 30 clinical neuropsychologist records in Oklahoma. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 clinical neuropsychologist records with the nearest ZIP codes

  1. David Hansen, PH.D.Tulsa, OK 741051730101817
  2. Joseph Fritsch, PHDTulsa, OK 741041427062082
  3. Russell Pella, PH.D.Tulsa, OK 741361700177391
  4. Terry Shaw, PHDTulsa, OK 741361063423994
  5. Brian Boatwright, PSY.D.Tulsa, OK 741371366722712
  6. Roscoe Burrows, PH.D.Tulsa, OK 741451457391260
  7. Sarah Coats, PH.D.Enid, OK 737031851308001
  8. Justin Ory, PH.D.Moore, OK 731601124426671

Common questions

What is Edison Dale Jeffus, PHD's NPI number?

Edison Dale Jeffus, PHD's National Provider Identifier (NPI) is 1407905284, issued on Jan 9, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Edison Dale Jeffus, PHD located?

The NPPES record lists a practice address at 3220 S Peoria Ave, Tulsa, OK, 74105. Phone: (918) 749-5506. Providers update this record themselves, so call before visiting.

How can I verify Edison Dale Jeffus, PHD's license?

NPPES lists Oklahoma license number 636, as entered by the provider. Search the Oklahoma board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.