BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA (NPI# 1154726560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154726560 |
| Entity Type | Organization |
| Organization Name | BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA |
| Other Organization Name | OUPT TISDALE BEHAVIORAL HEALTH |
| Practice Address |
591 E 36th St N Ste 200 Tulsa OK 74106-1812 |
| Mailing Address |
Po Box 268838 Oklahoma City OK 73126-8838 |
| Practice Telephone | 9186194400 |
| Practice Fax Number | 9186347884 |
| Mailing Telephone | 9186603632 |
| Mailing Fax Number | 9186603631 |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2014-10-28 |
| Authorized Official Name | JONATHAN JOINER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9186603000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| OUPT Tisdale Behavioral Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477905610 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Physical Therapist | 5005 S Darlington Ave, #100, Tulsa, OK 74135-7307 | 2016-07-12 |
| 1982859963 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Pediatrics | 4502 E 41st Street, 2g08, Ou Physicians Tulsa Community Health, Tulsa, OK 74135-2529 | 2008-11-18 |
| 1184872004 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Pediatrics | 619 S. Quincy Ave., Ouptch-laura Dester Shelter, Tulsa, OK 74120 | 2008-09-04 |
| 1750539870 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Pediatrics | 501 S Riverview Dr, Ouptch-bixby Brassfield 5th & 6th Grade Center, Bixby, OK 74008-4916 | 2008-09-03 |
| 1437307550 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Pediatrics | 8811 E. 31st Street South, Ouptch-skelly, Tulsa, OK 74145 | 2008-09-03 |
| 1184808974 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Pediatrics | 6465 S. Yale, Ste 304, Ou Physicians Tulsa Pediatric Specialist, Tulsa, OK 74136 | 2007-12-28 |
| 1265616064 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Nurse Practitioner | 4444 E 41st St 1st Floor Ste B, Ou Physicians Tulsa Pediatric Diabetes Center & Ha, Tulsa, OK 74135-2527 | 2007-12-28 |
| 1386837045 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Psychiatry & Neurology | 4444 E. 41st St, 3rd Floor Ste C Ou Physicians Tulsa-p, Tulsa, OK 74135-2527 | 2007-08-24 |
| 1184821548 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Pediatrics | 4502 E. 41st Street, Ou Bedlam Mobile Clinic, Tulsa, OK 74135-2553 | 2007-06-29 |
| 1891992251 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Family Medicine | 1111 South St. Louis Ave, Ste 2000, Ou Physicians Tulsa Fam Med Women's Health Services, Tulsa, OK 74120 | 2007-06-29 |
| Street Address |
591 E 36TH ST N STE 200 |
| City | TULSA |
| State | OK |
| Zip Code | 74106-1812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114923448 | Fred Garfinkel | Internal Medicine | 591 E 36th St N, Tulsa, OK 74106-1812 | 2005-06-22 |
| 1154972958 | Nicole Marie Biddinger | Physician Assistant | 591 E 36th St N, Tulsa, OK 74106-1812 | 2019-09-23 |
| 1063075083 | Briana King | Social Worker | 591 E 36th St N, Tulsa, OK 74106-1812 | 2019-04-16 |
| 1740730894 | Lakia Dawn Wilson | Social Worker | 591 E 36th St N, Tulsa, OK 74106-1812 | 2016-10-12 |
| 1871933051 | Kothai Divya Pragatheeshwar | Internal Medicine | 591 E 36th St N, Tulsa, OK 74106 | 2013-07-02 |
| 1467743443 | William David Butron | Internal Medicine | 591 E 36th St N, Tulsa, OK 74106-1812 | 2011-04-26 |
| 1376879304 | Elizabeth Mcelroy Hill | Physician Assistant | 591 E 36th St N, Tulsa, OK 74106-1812 | 2009-10-27 |
| 1346404803 | Syed Afzal Hussain | Psychiatry & Neurology | 591 E 36th St N, Tulsa, OK 74106-1812 | 2008-07-14 |
| 1992972277 | Kimberly Claire Martin | Pediatrics | 591 E 36th St N, Tulsa, OK 74106-1812 | 2008-05-15 |
| 1821268707 | Kyle Bielefeld | Pediatrics | 591 E 36th St N, Tulsa, OK 74106-1812 | 2008-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811538895 | Desma Johnson | Technician | 784 East 43rd Street North, Tulsa, OK 74106 | 2019-10-01 |
| 1912462094 | Breyan Lashawn Jackson | Case Manager/Care Coordinator | 3606 N Mlk Jr. Blvd, Tulsa, OK 74106 | 2019-02-04 |
| 1740751445 | Ernest Kaara Maina | Family Medicine | 3606 M.l.k. Jr Blvd, Tulsa, OK 74106 | 2018-12-07 |
| 1568969632 | A&m Healthcare Clinic | Nurse Practitioner | 3606 North Mlk Blvd, Tulsa, OK 74106 | 2018-04-06 |
| 1265880819 | Paula Patricia Tullis | Psychologist | 1232 N Boston, Tulsa, OK 74106 | 2016-05-24 |
| 1326413030 | Eartha Mcalester | Counselor | 628 E. Virgin St., Tulsa, OK 74106 | 2015-12-07 |
| 1114334182 | James O Brannon Jr. | Behavioral Analyst | 2745 North Main, Tulsa, OK 74106 | 2014-07-22 |
| 1952718512 | Teresa Marie Williams | Counselor | 3601 N. Martin Luther King Blvd, Tulsa, OK 74106 | 2014-07-16 |
| 1639580764 | Lynnette Dixon | Case Management | 708 East 38th Street North, Tulsa, OK 74106 | 2014-05-12 |
| 1184975898 | Tiara Delonia | Social Worker | 1 W 36th St N Suite 1, Tulsa, OK 74106 | 2012-09-21 |
| Find all providers in zip 74106 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376182337 | Tina Francis Counseling, LLC | Social Worker | 4870 S Lewis Ave Ste 125, Tulsa, OK 74105-5141 | 2019-12-22 |
| 1295373777 | Heartland Resolution Therapy, LLC | Social Worker | 4821 S Sheridan Rd Ste 217, Tulsa, OK 74145-5716 | 2019-12-16 |
| 1588200646 | Frank Parrinello | Social Worker | 2450 N Harvard Ave, Tulsa, OK 74115-3140 | 2019-11-25 |
| 1124676424 | Weconnectcounseling | Social Worker | 3015 E Skelly Dr Ste 313, Tulsa, OK 74105-6366 | 2019-08-29 |
| 1912567132 | Marianne James Brett | Social Worker | 4815 S Harvard Ave Ste 418, Tulsa, OK 74135-3068 | 2019-06-19 |
| 1700354420 | Karin Price | Social Worker | 7335 S Lewis Ave Ste 204, Tulsa, OK 74136-6896 | 2018-11-12 |
| 1598252884 | Beth Alison Peck | Social Worker | 10159 East 11th Street, Tulsa, OK 74128 | 2018-04-23 |
| 1841704301 | Susan Miller | Social Worker | 2502 E 71st St, Tulsa, OK 74136-5531 | 2017-11-20 |
| 1740799279 | Mary Beth Ritchie | Social Worker | 6010 S Atlanta Pl, Tulsa, OK 74105-7521 | 2017-09-27 |
| 1225566375 | Angela Bauer | Social Worker | 5512 S Lewis Ave Ste 8b, Tulsa, OK 74105-7140 | 2017-06-01 |
| 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.