JANET WILLIS, PH.D., PLLC (NPI# 1073962569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073962569 |
| Entity Type | Organization |
| Organization Name | JANET WILLIS, PH.D., PLLC |
| 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 | 2016-06-06 |
| Last Update Date | 2016-06-06 |
| Authorized Official Name | DR. JANET WILLIS (OWNER/RN/PSYCHOLOGIST) |
| Authorized Official Telephone | 9186402632 |
| Authorized Official Credential | RN, PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 566 | OK | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 10083921A | 05 |
| 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 |
| 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 |
| 1730377243 | Ron Duncan | Physical Therapist | 4815 S Harvard Ave, Tulsa, OK 74135-3055 | 2007-10-09 |
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851853188 | New Beginnings Counseling Agency | Community/Behavioral Health | 6216 S Lewis Ave Ste 103, Tulsa, OK 74136-1017 | 2019-04-04 |
| 1194201723 | Heart Youth & Family Therapy, Inc. | Community/Behavioral Health | 3171 S 129th East Ave # A1161, Tulsa, OK 74134-3205 | 2018-07-17 |
| 1669968665 | Amayesing Skillz LLC | Community/Behavioral Health | 1108 W Tecumseh St, Tulsa, OK 74127-2506 | 2018-07-03 |
| 1093209660 | Phelps Helps, Inc. | Community/Behavioral Health | 4870 S Lewis Ave Ste 190, Tulsa, OK 74105-5186 | 2018-06-18 |
| 1891296836 | Aws Behavioral Health | Community/Behavioral Health | 9 E 4th St Ste 602, Tulsa, OK 74103-5103 | 2018-02-26 |
| 1831603448 | Tamika Ross | Community/Behavioral Health | 9339 E 56th St, Tulsa, OK 74145-7928 | 2017-11-20 |
| 1780133827 | Connections Counseling Group Pllc | Community/Behavioral Health | 1710 S Boston Ave, Tulsa, OK 74119-4810 | 2016-09-30 |
| 1861941940 | Tulsa Mental Health and Wellness Center | Community/Behavioral Health | 5103 S Sheridan Rd, # 653, Tulsa, OK 74145-7627 | 2016-09-29 |
| 1053761080 | Stacy Mitchell | Community/Behavioral Health | 2816 E 51st St, Tulsa, OK 74105-1737 | 2016-06-21 |
| 1851751135 | Phillip A Black LLC | Community/Behavioral Health | 4815 S Harvard Ave Ste 428, Tulsa, OK 74135-3068 | 2016-03-01 |
| Find all providers in TULSA | ||||
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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.