GERALD ELLISON (NPI# 1083834980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083834980 |
| Entity Type | Individual |
| Full Name | GERALD ELLISON |
| Credential | PHD |
| Practice Address |
10109 E 79th St Tulsa OK 74133-4564 |
| Practice Telephone | 8477464333 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 670 | OK | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 354 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194720482 | Gerald L Ellison | Radiology | 1301 Medical Dr, Fayetteville, NC 28304-4425 | 2005-06-15 |
| Street Address |
10109 E 79TH ST |
| City | TULSA |
| State | OK |
| Zip Code | 74133-4564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235127440 | Julia D Matejec | Pharmacist | 10109 E 79th St, Inpatient Pharmacy, Tulsa, OK 74133-4564 | 2005-10-11 |
| 1598388506 | Talitha Jacobs | Respiratory Therapist, Registered | 10109 E 79th St, Tulsa, OK 74133-4564 | 2020-05-26 |
| 1407475890 | Kathyrn Bandy | 10109 E 79th St, Tulsa, OK 74133-4564 | 2020-04-15 | |
| 1609429034 | Mark Van Holt | Pharmacist | 10109 E 79th St, Tulsa, OK 74133-4564 | 2019-07-24 |
| 1982160461 | Karlie Ann Collins | Counselor | 10109 E 79th St, Tulsa, OK 74133-4564 | 2019-02-20 |
| 1528539475 | Angel Marie Allen | Nurse Practitioner | 10109 E 79th St, Tulsa, OK 74133-4564 | 2018-12-17 |
| 1841775947 | Stacy Lynn Newberry | Nurse Practitioner | 10109 E 79th St, Tulsa, OK 74133-4564 | 2018-09-25 |
| 1922599133 | Steven Christopher Dobbs | Pharmacist | 10109 E 79th St, Tulsa, OK 74133-4564 | 2018-05-23 |
| 1184129991 | Kalli Castille | Dietitian, Registered | 10109 E 79th St, Tulsa, OK 74133-4564 | 2018-03-26 |
| 1538664289 | Jessica Smith | Dietitian, Registered | 10109 E 79th St, Tulsa, OK 74133-4564 | 2018-03-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932725058 | Economy Pharmacy | Pharmacy | 10120 E 91st, Tulsa, OK 74133 | 2020-06-24 |
| 1710539424 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 9310 East 91st Street, Tulsa, OK 74133 | 2019-07-12 |
| 1003382060 | Carefirst Pharmacy Tulsa, Inc. | Pharmacy | 6214 S. Sheridan Rd, Tulsa, OK 74133 | 2018-10-17 |
| 1003397332 | Adekemi Taiwo | Nurse Practitioner | Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 | 2018-08-24 |
| 1346732013 | Lauren Nichols | Dentist | 7707 E 111th St Ste 105, Tulsa, OK 74133 | 2018-05-30 |
| 1699264259 | Courtney N Johnson, Pllc | Dentist | 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 | 2018-05-08 |
| 1417464199 | Tulsa Medical and Orthopedic Center PC | Family Medicine | 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 | 2018-01-04 |
| 1013421023 | Susan C. Willard, Do, Pllc | Family Medicine | 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 | 2017-11-29 |
| 1851800825 | Seyva LLC | Clinic/Center | 8522 S 70th E Ave, Tulsa, OK 74133 | 2017-09-21 |
| 1477072031 | Amanda Dawn Long | Registered Nurse | 10507 E 91st St Ste 310, Tulsa, OK 74133 | 2017-09-14 |
| Find all providers in zip 74133 | ||||
| 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 |
|---|---|---|---|---|
| 1023557139 | Stephen Grissom | Psychologist | 3736 E 82nd Pl, Tulsa, OK 74137-1605 | 2017-02-22 |
| 1508116526 | Martin Stampley Jr. | Psychologist | 1769 W Fairview St, Tulsa, OK 74127-4924 | 2012-09-17 |
| 1164716965 | Melanie Erica Mcquiddy | Psychologist | 5800 E Skelly Dr Ste 1111, Tulsa, OK 74135 | 2011-06-09 |
| 1881917151 | Bart Trentham, Pllc | Psychologist | 4870 S Lewis Ave -180 Tuls., Tulsa, OK 74105 | 2010-03-01 |
| 1336473784 | Paul Cooper | Psychologist | 7220 E 55th Place, Tulsa, OK 74145 | 2009-10-01 |
| 1538301189 | Terese Ann Hall | Psychologist | 5272 S Lewis Ave Ste 112, Tulsa, OK 74105-6563 | 2009-03-28 |
| 1962663856 | Judith K. Adams, Inc. | Psychologist | 9726 East 42nd Street So., Suite 106, Tulsa, OK 74146-3673 | 2008-06-23 |
| 1912104373 | Wendy Marie Huckeba | Psychologist | 5970 E 31st St Ste F, Tulsa, OK 74135-5112 | 2007-06-29 |
| 1235341389 | Thomas Alan Dafforn | Psychologist | 4870 S Lewis Avenue, Suite 180, Tulsa, OK 74105-5141 | 2007-05-03 |
| 1376760504 | Dennis A. Rawlings | Psychologist | 5215 E 71st St Ste 1400, Tulsa, OK 74136-6346 | 2007-04-19 |
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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.