DR. JANET GAYLE WILLIS (NPI# 1053331280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053331280 |
| Entity Type | Individual |
| Full Name | DR. JANET GAYLE WILLIS |
| Other Name | JANET HEATH WILLIS |
| Credential | PH.D. |
| Practice Address |
4815 S Harvard Ave Suite 525 Tulsa OK 74135-3055 |
| Practice Telephone | 9186199060 |
| Practice Fax Number | 9182890436 |
| Mailing Telephone | 9186199060 |
| Mailing Fax Number | 9182890436 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2015-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
566 | OK | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | MEDICARE PTAN | 600522417 | 01 |
| OK | 100839210B | 05 | |
| OK | 10083921A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003356197 | Janet Willis | Counselor | 5902 Buncombe Rd, Shreveport, LA 71129-4004 | 2017-03-08 |
| Street Address |
4815 S HARVARD AVE SUITE 525 |
| City | TULSA |
| State | OK |
| Zip Code | 74135-3055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013968544 | Shari Leann Holder | Specialist | 4815 S Harvard Ave, Suite #455, Tulsa, OK 74135-3055 | 2006-05-12 |
| 1285189316 | The Cataract Vision Institute LLC | Clinic/Center | 4815 S Harvard Ave, Suite 128, Tulsa, OK 74135-3055 | 2016-08-18 |
| 1073962569 | Janet Willis, Ph.d., Pllc | Community/Behavioral Health | 4815 S Harvard Ave, Suite 525, Tulsa, OK 74135-3055 | 2016-06-06 |
| 1801240288 | The Lasik Vision Institute LLC | Clinic/Center | 4815 S Harvard Ave, Suite 128, Tulsa, OK 74135-3055 | 2016-04-21 |
| 1972977114 | Piece of Mind Counseling & Consultation | Community/Behavioral Health | 4815 S Harvard Ave, Tulsa, OK 74135-3055 | 2015-11-28 |
| 1093104127 | Kelly Dunbar Davison | Counselor | 4815 S Harvard Ave, Suite 428, Tulsa, OK 74135-3055 | 2015-01-13 |
| 1053650903 | Psychological Services, PC | Psychologist | 4815 S Harvard Ave, Suite 250, Tulsa, OK 74135-3060 | 2013-02-12 |
| 1518211747 | Jennifer Benton, Phd, Pllc | Psychologist | 4815 S Harvard Ave, Suite 470, Tulsa, OK 74135-3055 | 2012-11-09 |
| 1386873511 | Jaymie Vanmeter | Counselor | 4815 S Harvard Ave, Tulsa, OK 74135-3055 | 2009-07-09 |
| 1043449234 | Kimberly Creedence Dunn | Physical Therapy Assistant | 4815 S Harvard Ave, Tulsa, OK 74135-3055 | 2009-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761590 | Dr. Whitney M. Ellsworth, Dpt, Pllc | Physical Therapist | 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 | 2020-08-20 |
| 1942839089 | Kimberly Renee Gillens | Student in an Organized Health Care Education/Training Program | 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 | 2020-04-01 |
| 1528525524 | Everest Pain Management | Clinic/Center | 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 | 2019-02-26 |
| 1326524216 | Shelley Deeann Anderson | Technician | 7359 S 68th, Tulsa, OK 74135 | 2018-07-14 |
| 1811489065 | Taylor Diane Spears | Behavioral Analyst | 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 | 2018-06-04 |
| 1225547821 | Heather Nicole Freed | Counselor | 4363 S Harvard Ave, Tulsa, OK 74135 | 2017-09-26 |
| 1306363924 | Danielle Walker | Case Manager/Care Coordinator | 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 | 2017-08-24 |
| 1346766078 | Angels Place | Day Training, Developmentally Disabled Services | 3919 S. Oswego Avenue, Tulsa, OK 74135 | 2017-08-15 |
| 1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
| 1346774197 | Brandie Herren | Registered Nurse | 6333 E Skelly Drive, Tulsa, OK 74135 | 2017-04-19 |
| Find all providers in zip 74135 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265976815 | Kathryn Anne Lafortune | Psychologist | 3120 S Birmingham Ave, Tulsa, OK 74105-2324 | 2016-12-15 |
| 1982627733 | Megan Sunshine Ballew | Psychologist | 3510 S Wheeling Ave, Tulsa, OK 74105-2722 | 2006-07-25 |
| 1780659078 | Hazem Sokkar | Psychologist | 4833 S Sheridan Rd, Ste 408, Tulsa, OK 74145-5750 | 2006-02-21 |
| 1891887824 | Jennifer L Dobson | Psychologist | 6655 S Yale Ave, Laureate Psychiatric Clinic and Hospital, Tulsa, OK 74136-3326 | 2006-09-28 |
| 1366462996 | Stephen Forrest Shoemaker | Psychologist | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645833 | Elizabeth Bley | Psychologist | 8820 Darlington Rd Nw, Calumet, OK 73014-6850 | 2020-06-29 |
| 1861857682 | Twyla Johnson | Psychologist | 1720 Ne 56th St, Oklahoma City, OK 73111-6837 | 2015-12-21 |
| 1942679626 | Jamie Richardson | Psychologist | 4424 N Parkview Ct, Stillwater, OK 74075-1679 | 2015-09-23 |
| 1144652132 | Felisa Cargile | Psychologist | 1218 Nw 83rd St, Oklahoma City, OK 73114-1514 | 2013-08-01 |
| 1164682910 | Jana S Barnes | Psychologist | 721 S George Nigh Expy, Mcalester, OK 74501-7400 | 2008-06-16 |
| 1518048529 | Roland Lavelle Palmer | Psychologist | 1090 N University Blvd, Norman, OK 73069-7620 | 2006-10-17 |
| 1417492752 | Wellness and Therapy Services, LLC | Psychologist | 2301 W I 44 Service Rd, Suite 200, Oklahoma City, OK 73112-8729 | 2016-12-22 |
| 1851717581 | Terri Cobb | Psychologist | 1700 W Broadway St, Muskogee, OK 74401-3340 | 2014-03-05 |
| 1114352002 | Paula G Parsons | Psychologist | 1732 S Kelly Ave, Edmond, OK 73013-3630 | 2013-09-10 |
| 1992043632 | Clyde Andrew Young | Psychologist | 200 W 15th St, Edmond, OK 73013-3607 | 2013-01-30 |
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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.