DR. FRED M PATRIZI (NPI# 1104861988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104861988 |
| Entity Type | Individual |
| Full Name | DR. FRED M PATRIZI |
| Credential | PHD |
| Practice Address |
419 W Gray St Norman OK 73069-7117 |
| Mailing Address |
Po Box 1729 Norman OK 73070-1729 |
| Practice Telephone | 4053213499 |
| Practice Fax Number | 4053645379 |
| Mailing Telephone | 4053213499 |
| Mailing Fax Number | 4053645379 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2007-10-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 584 | OK | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 584 | OK | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
584 | OK | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | RR MEDICARE | P00323812 | 01 |
| Street Address |
419 W GRAY ST |
| City | NORMAN |
| State | OK |
| Zip Code | 73069-7117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497281653 | C&e Aprn-crna Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 419 W Gray St, Norman, OK 73069-7117 | 2017-05-10 |
| 1366983009 | Falon Morgan Lcsw Pllc | Social Worker | 419 W Gray St, Norman, OK 73069-7117 | 2017-03-14 |
| 1407394703 | Roger D Hanley Crna Inc | Nurse Anesthetist, Certified Registered | 419 W Gray St, Norman, OK 73069-7117 | 2017-02-07 |
| 1558809129 | Bishop Creek LLC | Social Worker | 419 W Gray St, Norman, OK 73069-7117 | 2017-02-03 |
| 1184075418 | Martin Krimsky Phd Inc | Psychologist | 419 W Gray St, Norman, OK 73069-7117 | 2016-06-28 |
| 1063891000 | Gion Anesthesia Services Pllc | Nurse Anesthetist, Certified Registered | 419 W Gray St, Norman, OK 73069-7117 | 2015-05-22 |
| 1033522321 | Misti Crawford Aprn-crna PC | Nurse Anesthetist, Certified Registered | 419 W Gray St, Norman, OK 73069-7117 | 2014-06-04 |
| 1407269798 | Evan W Luttrell Aprn-crna PC | Nurse Anesthetist, Certified Registered | 419 W Gray St, Norman, OK 73069-7117 | 2014-06-04 |
| 1053747550 | Timothy J Scott Crna Inc | Nurse Anesthetist, Certified Registered | 419 W Gray St, Norman, OK 73069-7117 | 2013-09-17 |
| 1548523004 | Steger Physical Therapy Pllc | Physical Therapist | 419 W Gray St, Norman, OK 73069-7117 | 2012-06-20 |
| Find all providers in the same location | ||||
| 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 | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750311247 | Wade L Hamil | Clinical Neuropsychologist | 448 36th Ave Nw, Suite 101, Norman, OK 73072-4746 | 2006-07-03 |
| 1407102742 | Norman Neuropsychology Associates, Pllc | Clinical Neuropsychologist | 3280 Marshall Ave, Norman, OK 73072-8022 | 2012-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376140129 | Megan Marie Mcarthur | Clinical Neuropsychologist | 920 Stanton L Young Blvd # Wp3152, Oklahoma City, OK 73104-5036 | 2020-10-05 |
| 1154837185 | David E Hansen, Ph.d, PC | Clinical Neuropsychologist | 5512 S Lewis Ave Ste 8, Tulsa, OK 74105-7140 | 2017-12-28 |
| 1114438785 | Mind The Gap Neuropsychology Services Pllc | Clinical Neuropsychologist | 10621 Haskell Ln, Oklahoma City, OK 73162-8212 | 2017-10-23 |
| 1770009052 | Christopher Minh Nguyen | Clinical Neuropsychologist | 601 Robert S Kerr Ave Apt 108, Oklahoma City, OK 73102 | 2017-08-17 |
| 1295250207 | Lifechange Psychological Services, LLC | Clinical Neuropsychologist | 4117 Nw 122nd St Ste A1, Oklahoma City, OK 73120-8819 | 2017-08-10 |
| 1891218202 | Elite Therapy, LLC | Clinical Neuropsychologist | 1505 Renaissance Blvd, Edmond, OK 73013-3018 | 2017-07-18 |
| 1568990281 | Natalie Anne Emmert | Clinical Neuropsychologist | 920 Sl Young Blvd # Wp3440, Oklahoma City, OK 73104-5036 | 2017-05-25 |
| 1518210285 | Millennium Medical Services | Clinical Neuropsychologist | 520 W Rogers Blvd, Skiatook, OK 74070-1061 | 2012-10-18 |
| 1700177391 | Russell D Pella | Clinical Neuropsychologist | 5213 S Vandalia Ave, Apt. 4g, Tulsa, OK 74135-4038 | 2011-04-29 |
| 1861726663 | Mary Elizabeth Cardoni | Clinical Neuropsychologist | 5110 South Yale Avenue, Suite 103, Tulsa, OK 74135 | 2009-09-25 |
| 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.