DR. JENNY BENDURE (NPI# 1013398668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013398668 |
Entity Type | Individual |
Full Name | DR. JENNY BENDURE |
Credential | PH.D. |
Practice Address |
800 W Rock Creek Rd Suite 101 Norman OK 73069-8586 |
Practice Telephone | 4057018400 |
Practice Fax Number | 4053102081 |
Mailing Telephone | 4057018400 |
Mailing Fax Number | 4053102081 |
Enumeration Date | 2015-06-09 |
Last Update Date | 2017-01-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TH0100X |
Psychologist Specialization: Health Service |
Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 200677510A | 05 | |
OK | CAQH | 13655858 | 01 |
Street Address |
800 W ROCK CREEK RD SUITE 101 |
City | NORMAN |
State | OK |
Zip Code | 73069-8586 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457486672 | Teresa Lee | Occupational Therapist | 800 W Rock Creek Rd, Suite 103, Norman, OK 73069-8586 | 2007-02-21 |
1235672692 | Red Dirt Mental Health, Inc. | Psychologist | 800 W Rock Creek Rd, Suite 101, Norman, OK 73069-8586 | 2016-12-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235739764 | Pinnacle Family Health Care | Family Medicine | 2781 Washington Drive, Suite 101, Norman, OK 73069 | 2020-10-26 |
1063030088 | Kristal Ladawn Vasquez | Nurse Practitioner | 4019 North Flood Ave, Normam, OK 73069 | 2020-07-07 |
1841828290 | Cheryl Renee Stoepker | Nurse Practitioner | 3441 24th Ave Nw, Norman, OK 73069 | 2020-03-31 |
1427689215 | Bodyworx Primary Care, LLC | Nurse Practitioner | 4019 N Flood Ave, Norman, OK 73069 | 2020-01-30 |
1528539376 | Monika Potdar | Pharmacist | 2550 Mount Williams Dr, Norman, OK 73069 | 2018-12-05 |
1861962193 | Bethany Spring Browne | Physician Assistant | 209 Hal Muldrow Dr, Apt 7, Norman, OK 73069 | 2018-11-29 |
1528536109 | Summit Health and Wellness Center LLC | Counselor | 2770 Washington Dr, Suite 100, Norman, OK 73069 | 2018-11-13 |
1386121960 | Sarah Lawhead | Case Manager/Care Coordinator | 525 Dakota St, Norman, OK 73069 | 2018-07-25 |
1528554433 | Katie Blankenship | Occupational Therapist | 330 W Grey Street 100-2, Norman, OK 73069 | 2018-07-03 |
1568918886 | Brandi Deerinwater | Case Manager/Care Coordinator | 321 S Peters, Norman, OK 73069 | 2016-08-28 |
Find all providers in zip 73069 |
Taxonomy Code | 103TH0100X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Health Service |
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386787661 | Lisa Myers Black | Psychologist | 4003 24th Ave Ne, Norman, OK 73071-7749 | 2007-02-15 |
1285142513 | Sheena Mehta | Psychologist | 620 Elm Ave Rm 201, Norman, OK 73019-3142 | 2018-01-22 |
1942403019 | Lisa Myers Black, Ph.d., Pllc | Psychologist | 4003 24th Ave Ne, Norman, OK 73071-7749 | 2007-06-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457827016 | Grundy Psychological Services, P.C. | Psychologist | 205 Ketchum Avenue, Ketchum, OK 74349 | 2018-10-22 |
1891212551 | Mary Elizabeth Mohon | Psychologist | Oklahoma Vamc 921 Ne 13th Street, 11g, Oklahoma City, OK 73104 | 2017-08-24 |
1255855110 | Christopher Thomas Copeland | Psychologist | 920 Stanton L Young Blvd # Wp3445, Oklahoma City, OK 73104-5036 | 2017-08-01 |
1588063085 | La'queion Ballard | Psychologist | 2221 Ne 24th St, Oklahoma City, OK 73111-3421 | 2014-08-20 |
1346660412 | Mental Wellness Services, LLC | Psychologist | 3605 Nw 175th St, Edmond, OK 73012-6901 | 2014-04-16 |
1285915710 | Gloria P Okelley | Psychologist | 4400 Hemingway Dr., # 221, Oklahoma City, OK 73118 | 2011-08-29 |
1023214392 | Robert J. Powitzky | Psychologist | 4710 Hemlock Cir, Oklahoma City, OK 73162-1938 | 2007-06-25 |
1407070790 | Ralph Edmond Lindsey | Psychologist | 115 E 4th Ave, Stillwater, OK 74074-3527 | 2007-04-11 |
1497877765 | Omar Wr Muhammad | Psychologist | 3312 E Maxwell Dr, Oklahoma City, OK 73121-2246 | 2007-04-05 |
1043393234 | Curtis Todd Grundy | Psychologist | 1520 North Industrial Rd, Vinita, OK 74301 | 2006-10-23 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.