DR. DEAN PARKER MONTGOMERY JR. (NPI# 1033204763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033204763 |
| Entity Type | Individual |
| Full Name | DR. DEAN PARKER MONTGOMERY JR. |
| Credential | PH.D |
| Practice Address |
100 W 7th St Okmulgee OK 74447-5007 |
| Mailing Address |
Po Box 471556 Tulsa OK 74147-1556 |
| Practice Telephone | 9187581910 |
| Practice Fax Number | 9187561270 |
| Mailing Telephone | 9182506805 |
| Mailing Fax Number | 9182502084 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 575 | OK | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100840530A | 05 | |
| OK | BLUE CROSS BLUE SHIELD | 731229233002 | 01 |
| Street Address |
100 W 7TH ST |
| City | OKMULGEE |
| State | OK |
| Zip Code | 74447-5007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114947082 | Daley Tearl | Counselor | 100 W 7th St, Suite 102, Okmulgee, OK 74447-5007 | 2006-07-20 |
| 1174024426 | Access Solutions Medical Group II | Family Medicine | 100 W 7th St, Okmulgee, OK 74447-5050 | 2018-02-22 |
| 1215307673 | Hollie Ledford | Social Worker | 100 W 7th St, Okmulgee, OK 74447-5050 | 2015-09-29 |
| 1679950364 | Stacy Morris | Social Worker | 100 W 7th St, Okmulgee, OK 74447-5050 | 2015-05-01 |
| 1205176641 | Adrianne Elise Brown | Social Worker | 100 W 7th St, Suite 102, Okmulgee, OK 74447-5007 | 2013-02-21 |
| 1174874275 | Emma Lee De La Cruz | Counselor | 100 W 7th St, Okmulgee, OK 74447-5007 | 2012-09-28 |
| 1265763239 | Jonell James | Social Worker | 100 W 7th St, Okmulgee, OK 74447-5007 | 2010-01-14 |
| 1003052465 | Leslie Lynn Crow | Counselor | 100 W 7th St, Suite 102, Okmulgee, OK 74447-5007 | 2009-01-06 |
| 1962413070 | Barry Kent Clark Jr. | Counselor | 100 W 7th St, Okmulgee, OK 74447-5007 | 2006-08-11 |
| 1588672208 | Creek Nation Health Systems | Clinic/Center | 100 W 7th St, Suite 102, Okmulgee, OK 74447-5007 | 2006-08-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718376 | David Louis Holden | Counselor | 1803 W Wood Drive, Okmulgee, OK 74447 | 2020-07-30 |
| 1972097657 | Impact Rehab Consultants | Occupational Therapist | 114 West 7th Street, Okmulgee, OK 74447 | 2018-06-18 |
| 1992192504 | Taquia Bagby | Counselor | 1117 Martin L King Dr., Okmulgee, OK 74447 | 2015-04-21 |
| 1174935886 | Heather Houser | Case Manager/Care Coordinator | 1803 South Wood Drive, Okmuglee, OK 74447 | 2014-05-29 |
| 1376977066 | Anita Kaye Stallings | Case Manager/Care Coordinator | 1018 E 2nd St, Okmulgee, OK 74447 | 2013-08-29 |
| 1013283209 | Megan Breffney Wilson | Family Medicine | 112 West 5th Street, Okmulgee, OK 74447 | 2012-04-01 |
| 1245475466 | Mary Jones | Counselor | 323 W 6th Street, Okmulgee, OK 74447 | 2008-12-03 |
| 1881872182 | State of Oklahoma | Skilled Nursing Facility | 900 E. Airport Rd., Okmulgee, OK 74447 | 2008-02-08 |
| 1053539965 | Shannon Michelle Allison | Physical Therapist | 900 E. Airport Road, Okmulgee, OK 74447 | 2007-04-23 |
| 1023233772 | Ky Joel Kiger | Physical Therapist | 900 East Airport Road, Okmulgee, OK 74447 | 2007-04-16 |
| Find all providers in zip 74447 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083724074 | Bruce R Hodson | Psychologist | 100 W 7th St Ste 102, Okmulgee, OK 74447-5007 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578128070 | Jason Ruggieri | Psychologist | 527 Gott Road, Bldg 816, Enid, OK 73705-5103 | 2019-05-09 |
| 1831657592 | Jocelyn Barton Phd Inc | Psychologist | 8241 S Walker Ave Ste 200, Oklahoma City, OK 73139-9401 | 2019-03-12 |
| 1902385859 | Danell Marie Rahni | Psychologist | 17300 Serrano Dr, Oklahoma City, OK 73170 | 2018-08-11 |
| 1588188072 | Kathryn Jeter | Psychologist | 1200 Childrens Ave Ste 12400, Oklahoma City, OK 73104-4637 | 2017-07-27 |
| 1669912598 | Christopher Gibson | Psychologist | 2810 Dorchester Dr, 17, Oklahoma City, OK 73120-4561 | 2017-02-25 |
| 1023557139 | Stephen Grissom | Psychologist | 3736 E 82nd Pl, Tulsa, OK 74137-1605 | 2017-02-22 |
| 1073050308 | David Wakefield | Psychologist | 7205 S Ash Pl, Broken Arrow, OK 74011-6810 | 2017-01-25 |
| 1770937229 | Talking Leaves Job Corps | Psychologist | 5700 Bald Hill Road, Tahlequah, OK 74465-1066 | 2016-04-21 |
| 1407224025 | Susan Howard Psychological Services, Pllc | Psychologist | Hwys 70 & 81, Waurika, OK 73573-0207 | 2015-09-14 |
| 1871978908 | Lyla English | Psychologist | 520 W Division St, Stilwell, OK 74960-2812 | 2015-07-30 |
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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.