SUZAN B. SIMMONS, PH.D,,PLLC (NPI# 1164887170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164887170 |
| Entity Type | Organization |
| Organization Name | SUZAN B. SIMMONS, PH.D,,PLLC |
| Other Organization Name | SUZAN B. SIMMONS, PH.D. |
| Practice Address |
1916 Lake Rd Ponca City OK 74604-4800 |
| Mailing Address |
Po Box 1230 Ponca City OK 74602-1230 |
| Practice Telephone | 5807613799 |
| Mailing Telephone | 5807613799 |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2015-12-17 |
| Authorized Official Name | DR. SUZAN B SIMMONS (PSYCHOLOGIST) |
| Authorized Official Telephone | 5807613799 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
1150 | OK | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | MEDICARE INDIVIDUAL PTAN | OKA104155 | 01 |
| Other Name | Type Code |
|---|---|
| Suzan B. Simmons, Ph.D. | Former Legal Business Name - Organization |
| Street Address |
1916 LAKE RD |
| City | PONCA CITY |
| State | OK |
| Zip Code | 74604-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598316960 | Kathryn L Nipper | Registered Nurse | Jane Morris, 13 Hillcrest Dr, Ponca City, OK 74604 | 2019-09-26 |
| 1043617723 | Tim Henslee | Occupational Therapy Assistant | 1601 Academy Road, Ponca City, OK 74604 | 2014-11-25 |
| 1154736221 | Paula Oast | Occupational Therapy Assistant | 1601 Academy Rd., Ponca City, OK 74604 | 2014-06-26 |
| 1154657948 | Limb Salvage International, Inc | General Practice | 2210 N 14th St, Ponca City, OK 74604 | 2009-10-29 |
| 1124150305 | Scott Thomas Kirkpatrick Sr. | Chiropractor | 1916 Lake Road, Ponca City, OK 74604 | 2007-03-12 |
| 1093854556 | Jamie Dawn Phillips | Counselor | 1300 Summers Pl, Ponca City, OK 74604 | 2007-02-05 |
| 1790160224 | Ann Mayse | Counselor | 1912 Lake Rd, Ponca City, OK 74604 | 2015-07-27 |
| 1013217462 | Laura Anne Peitz | Counselor | 3415 Meadow Ln, Ponca City, OK 74604-1318 | 2010-11-01 |
| 1194362913 | Stephanie Lynn Wright | Peer Specialist | 1512 Queens Ave, Ponca City, OK 74604-1321 | 2019-12-01 |
| 1073881314 | Triad Family Chiropractic, LLC | Chiropractor | 3004 Turner St, Ponca City, OK 74604-1512 | 2011-12-01 |
| Find all providers in zip 74604 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588665095 | Suzan B Simmons | Psychologist | 425 Fairview Ave, 3, Ponca City, OK 74601-1902 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267965 | Oklahoma Counseling Professionals | Psychologist | 2123 Sw 119th St Ste B, Oklahoma City, OK 73170-3440 | 2019-10-23 |
| 1366090680 | Jason K. White, Ph.d., LLC | Psychologist | 807 S. Pine St., Stillwater, OK 74074 | 2019-08-29 |
| 1386096659 | Thomas Collins | Psychologist | 333 W Michael Dr, Midwest City, OK 73110-3319 | 2016-07-11 |
| 1760882807 | Janet Marie Mcmahan | Psychologist | 53479 Cut Off Rd, Talihina, OK 74571-2371 | 2014-08-26 |
| 1790196202 | Peter Rausch | Psychologist | 735 N. Foreman St., Vinita, OK 74301 | 2014-05-19 |
| 1235556911 | Christopher Bowles | Psychologist | 1613 King Dr, Apartment 721, Bartlesville, OK 74006-4939 | 2014-03-19 |
| 1497187215 | Diane Yvonne Genther | Psychologist | 100 N University Dr., 402, Uco Student Counseling, Nigh University Center, Edmond, OK 73034-5209 | 2013-08-02 |
| 1861839367 | Candace Dawn Marzett | Psychologist | 2213 N Zenith Ave, Tulsa, OK 74127-2234 | 2013-05-24 |
| 1700126588 | Margaret Lee Zingman | Psychologist | 204 W 8th St, Chandler, OK 74834-2604 | 2013-02-15 |
| 1952647406 | Billy Van Ray | Psychologist | 2925 Berkley Dr, Edmond, OK 73034-4153 | 2013-01-02 |
| Find all providers with the same taxonomy | ||||
| City | PONCA CITY |
| Zip Code | 74604 |
Please comment or provide details below to improve the information on SUZAN B. SIMMONS, PH.D,,PLLC.
| 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.