DR. LESLIE J. RUNDELL (NPI# 1164437604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164437604 |
| Entity Type | Individual |
| Full Name | DR. LESLIE J. RUNDELL |
| Credential | PH.D. |
| Practice Address |
6520 N Western Ave Suite 200 Oklahoma City OK 73116-7334 |
| Practice Telephone | 4058482511 |
| Practice Fax Number | 4058482511 |
| Mailing Telephone | 4058482511 |
| Mailing Fax Number | 4058482511 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TC1900X |
Psychologist Specialization: Counseling |
974 | OK | Behavioral Health & Social Service Providers |
| X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
974 | OK | Behavioral Health & Social Service Providers |
| Street Address |
6520 N WESTERN AVE SUITE 200 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73116-7334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568481364 | Paula J Stanford | Counselor | 6520 N Western Ave, Suite 101, Oklahoma City, OK 73116-7334 | 2006-07-19 |
| 1770761157 | Carter Stohlmann Townsend | Psychologist | 6520 N Western Ave, Suite 200, Oklahoma City, OK 73116-7334 | 2008-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455068 | Restore Family Counseling, LLC | Clinic/Center | 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 | 2020-07-29 |
| 1861058877 | Dental Depot of 63rd & Nw Expressway, Pllc | Clinic/Center | 4025 Nw 63rd Street, Oklahoma City, OK 73116 | 2019-05-15 |
| 1073001756 | Oklahoma Clinical Management LLC | Prevention Professional | 4301 Nw 63rd St Ste 107, Oklahoma City, OK 73116 | 2018-04-27 |
| 1235658261 | Heinen Physical Therapy, PC | Clinic/Center | 7710 N May Ave, Oklahoma City, OK 73116 | 2017-09-11 |
| 1235657842 | Jacque S Komers | Counselor | 6501 N Broadway Ext Suite 180, Oklahoma City, OK 73116 | 2017-09-04 |
| 1164943874 | Jo Ann Cole-johnson | Counselor | 6505 N. Shawnee Ave, Oklahoma, OK 73116 | 2017-07-03 |
| 1548790793 | Zachary Wayne Skates | Case Manager/Care Coordinator | North 6501 Broadway Extention Highway #180, Oklahoma City, OK 73116 | 2017-06-19 |
| 1548622673 | Jessica Defiore | Case Manager/Care Coordinator | 6501 N Broadway Extension, Oklahoma City, OK 73116 | 2016-03-28 |
| 1093173247 | Patrice Ann Cook | Specialist/Technologist, Other | 7700 N. Hudson Ave, Suite Number 9, Oklahoma City, OK 73116 | 2016-02-03 |
| 1467880708 | Abrina Marie Kneeland | Occupational Therapy Assistant | 6525 N. Meridian #311, Therapists Unlimited Division of Career Staff, Oklahoma City, OK 73116 | 2013-10-24 |
| Find all providers in zip 73116 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267965 | Oklahoma Counseling Professionals | Psychologist | 2123 Sw 119th St Ste B, Oklahoma City, OK 73170-3440 | 2019-10-23 |
| 1215220801 | James Kenneth Fisher | Psychologist | 12522 Abbotts Way, Oklahoma City, OK 73142 | 2011-05-16 |
| 1679809107 | Victoria Christofi | Psychologist | 1530 Sw 119th St Unit 105, Oklahoma City, OK 73170-4938 | 2009-10-18 |
| 1740343474 | Max M. Edgar | Psychologist | 4617 N Miller Ave, Oklahoma City, OK 73112-8238 | 2006-12-16 |
| 1225121759 | Dale Rogers Training Center | Psychologist | 2501 North Utah, Oklahoma City, OK 73107-1226 | 2006-10-02 |
| 1083722532 | Jerry Don White | Psychologist | 2525 Northwest Expressway, Suite 420, Oklahoma City, OK 73112-7227 | 2006-08-25 |
| 1871575399 | Roy M. Isenberg | Psychologist | 717 Nw 56th St, Oklahoma City, OK 73118-6030 | 2005-11-18 |
| 1083128847 | Victoria Christofi, Ph.d., Inc. | Psychologist | 1530 Sw 119th St Unit 105, Oklahoma City, OK 73170-4938 | 2017-11-30 |
| 1184008484 | Louisa Onyekuru | Psychologist | 3000 United Founders Blvd, 110, Oklahoma City, OK 73112-3958 | 2015-07-16 |
| 1417341603 | Seleena Dawn Smith | Psychologist | 5929 N May Ave Ste 302, Oklahoma City, OK 73112-3925 | 2015-03-25 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73116 |
Please comment or provide details below to improve the information on DR. LESLIE J. RUNDELL.
| 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.