JOHN WALLS (NPI# 1114339348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114339348 |
| Entity Type | Individual |
| Full Name | JOHN WALLS |
| Practice Address |
2012 North Villa Avenue Oklahoma City OK 73107 |
| Practice Telephone | 4058859738 |
| Mailing Telephone | 4058859738 |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2014-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760946594 | John C Walls | Student in an Organized Health Care Education/Training Program | 31 East Montauk Highway, Hampton Bays, NY 11946-0701 | 2019-01-25 |
| 1922327956 | John Walls | Case Manager/Care Coordinator | 44 Martin Ln, Ash Flat, AR 72513-9749 | 2010-06-01 |
| 1174851976 | John Morris Walls | Pharmacist | 3403 Mangum Rd, Houston, TX 77092-7415 | 2009-12-07 |
| Street Address |
2012 NORTH VILLA AVENUE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144747999 | Ellen Rose Pochyly | Counselor | 2617 General Pershing Boulevard, Oklahoma City, OK 73107 | 2017-08-23 |
| 1609399906 | Carrie Ann Moore | Counselor | 2617 General Pershing Blvd., Oklahoma City, OK 73107 | 2017-07-19 |
| 1821511320 | Diana Lynn Spencer | Counselor | 2617generalpershingblvd, Oklahoma City, OK 73107 | 2017-07-18 |
| 1861859514 | Catherine Evans | Counselor | 500 N Meridian Ave Ste 409, Oklahoma City, OK 73107 | 2016-01-26 |
| 1871964551 | Kizzy Frazier | Student in an Organized Health Care Education/Training Program | 1233 N Warren Pl, Oklahoma City, OK 73107 | 2015-10-07 |
| 1538550629 | Oklahoma Department of Mental Health and Substance Abuse | Case Management | 2625 General Pershing Boulevard, Oklahoma City, OK 73107 | 2015-02-10 |
| 1952702276 | Andale Healthcare, LLC | Clinic/Center | 2305 N. Meridian, Oklahoma City, OK 73107 | 2014-09-05 |
| 1376970517 | Latrice Warrior | Community/Behavioral Health | 2625 General Pershing Drive, Oklahoma City, OK 73107 | 2013-10-02 |
| 1326485541 | Debra Sue Vaughan | Counselor | 2617 Genral Pershing Blvd, Oklahoma City, OK 73107 | 2013-05-29 |
| 1699028597 | Dental Depot of 10004 South Memorial Drive Pllc | Dentist | 1918 N. Drexel, Oklahoma City, OK 73107 | 2012-10-17 |
| Find all providers in zip 73107 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679811624 | Rashawn T Mance | Psychologist | 2609 Featherstone Rd, Apt 408, Oklahoma City, OK 73120-2105 | 2013-01-26 |
| 1598069031 | Cynthia Ann Barker | Psychologist | 3300 Nw 56th St Ste 220, Oklahoma City, OK 73112-4401 | 2010-12-24 |
| 1508425042 | Samantha Danielle Price | Psychologist | 921 Ne 13th St # 116a, Oklahoma City, OK 73104-5007 | 2019-06-09 |
| 1518458439 | Walter E Cooper | Psychologist | 1215 Nw 25th St, Oklahoma City, OK 73106-5629 | 2018-05-25 |
| 1114263001 | Jackie D Jordan | Psychologist | 3700 N Classen Blvd, Suite C-55, Oklahoma City, OK 73118-2872 | 2012-12-20 |
| 1750651386 | Monica Rizzuto Crain | Psychologist | 301 W I 240 Service Rd, Oklahoma City, OK 73139-7701 | 2012-01-12 |
| 1457509739 | Catherine Jarvis Shaw | Psychologist | 921 Ne 13th St, 116 C, Oklahoma City, OK 73104-5007 | 2008-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1245636497 | Elisabeth Pitts | Psychologist | 301 W Maine Ave, Enid, OK 73701-5673 | 2014-11-17 |
| 1013347988 | Bradford Don Holinsworth | Psychologist | 2009 S Cherokee Pl, Claremore, OK 74019-3538 | 2013-11-13 |
| 1356683387 | Darryn K Herron I | Psychologist | 5641 S 88th East Ave, Tulsa, OK 74145-7905 | 2013-03-15 |
| 1144431016 | Helen Lee Veach | Psychologist | 35962 Ew 1300, Seminole, OK 74868-5870 | 2007-05-24 |
| 1437538634 | Robert Thomas Libey | Psychologist | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2015-05-21 |
| 1255638904 | Denise M Dart | Psychologist | 2321 E 3rd St, Tulsa, OK 74104-1831 | 2011-02-16 |
| 1538495692 | Marti Leeann Nichols | Psychologist | 205 S Adair St, Pryor, OK 74361-5201 | 2009-10-26 |
| City | OKLAHOMA CITY |
| Zip Code | 73107 |
Please comment or provide details below to improve the information on JOHN WALLS.
| 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.