MILLENNIUM MEDICAL SERVICES, L.L.C. (NPI# 1245286285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245286285 |
| Entity Type | Organization |
| Organization Name | MILLENNIUM MEDICAL SERVICES, L.L.C. |
| Practice Address |
448 36th Ave Nw Ste 101 Norman OK 73072-4743 |
| Mailing Address |
3816 Shadowridge Dr Norman OK 73072-5308 |
| Practice Telephone | 8885737792 |
| Practice Fax Number | 8887538162 |
| Mailing Telephone | 4056270276 |
| Mailing Fax Number | 8887538162 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-04-22 |
| Authorized Official Name | DR. WADE L HAMIL (CEO) |
| Authorized Official Telephone | 8885737792 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200004820A | 05 | |
| OK | MEDICARE - RAILROAD GROUP | DA0514 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568897585 | Millennium Medical Services, L.L.C. | Counselor | 1212 Reynolds Ave, Poteau, OK 74953-4724 | 2013-09-10 |
| 1922352475 | Millennium Medical Services, L.L.C. | Counselor | 14367 Se Highway 63, Talihina, OK 74571-5948 | 2012-11-06 |
| 1295355840 | Millennium Medical Services, L.L.C. | Counselor | 503 S Central Ave, Idabel, OK 74745-6061 | 2020-04-23 |
| 1528614146 | Millennium Medical Services, L.L.C. | Counselor | 245 W Wilshire Blvd Ste A, Oklahoma City, OK 73116-7754 | 2019-08-11 |
| 1295128981 | Millennium Medical Services, L.L.C. | Counselor | 312 N Van Buren St, Enid, OK 73703-4500 | 2015-03-05 |
| 1013348846 | Millennium Medical Services, L.L.C. | Counselor | 221 W 3rd St, Hobart, OK 73651-3603 | 2013-12-04 |
| Street Address |
448 36TH AVE NW STE 101 |
| City | NORMAN |
| State | OK |
| Zip Code | 73072-4743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376008649 | Zachary Abbott | Counselor | 448 36th Ave Nw Ste 101, Norman, OK 73072-4743 | 2019-01-31 |
| 1043782501 | Patricia Gleason | Case Manager/Care Coordinator | 448 36th Ave Nw Ste 101, Norman, OK 73072-4743 | 2018-12-21 |
| 1841778347 | Sabrina Pence | Peer Specialist | 448 36th Ave Nw Ste 101, Norman, OK 73072-4743 | 2018-08-06 |
| 1700394434 | Ashlee R Brown-lee | Social Worker | 448 36th Ave Nw Ste 101, Norman, OK 73072 | 2018-01-16 |
| 1609393214 | Alisha Ranee Pence | Case Manager/Care Coordinator | 448 36th Ave Nw Ste 101, Norman, OK 73072-4743 | 2017-08-24 |
| 1154850238 | Lorene Marie Roper | Social Worker | 448 36th Ave Nw Ste 101, Norman, OK 73072-4743 | 2017-06-12 |
| 1912446311 | Alicia Womack | Counselor | 448 36th Ave Nw Ste 101, Norman, OK 73072-4743 | 2017-02-17 |
| 1295186583 | Raveen Lee | Social Worker | 448 36th Ave Nw Ste 101, Norman, OK 73072-4743 | 2016-06-28 |
| 1932595071 | Tambre Lynn Ross | Licensed Practical Nurse | 448 36th Ave Nw Ste 101, Norman, OK 73072-4743 | 2015-04-14 |
| 1922308469 | Michael Sean Fagen | Counselor | 448 36th Ave Nw Ste 101, Norman, OK 73072-4743 | 2010-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326684630 | Summer Crawford | Nurse Practitioner | 2080 Ok-9, Norman, OK 73072 | 2019-11-21 |
| 1962054882 | Jayme Provine | Registered Nurse | 3300 Healthplex Parkway, Lactation Dept, Norman, OK 73072 | 2019-07-11 |
| 1811556186 | Elizabeth Moore | Behavioral Analyst | 2240 36th Ave Nw, Suite 100, Norman, OK 73072 | 2019-06-11 |
| 1861950735 | Michelle Kathleen Spehr | Nurse Practitioner | 3231 Healthplex Dr., Norman, OK 73072 | 2019-03-08 |
| 1801384953 | Serena Browning | Registered Nurse | 3913 Ripple Ave, Norman, OK 73072 | 2018-04-24 |
| 1508363771 | Dental Depot of 36th & Tecumseh, Pllc | Dentist | 3401 W. Tecumseh Rd., Norman, OK 73072 | 2018-04-12 |
| 1396274809 | Balance Hormone Center | Physician Assistant | 3351 W. Rock Creek Rd Ste 100, Norman, OK 73072 | 2017-06-08 |
| 1174060792 | Rebekah Karnes | Nurse Practitioner | 2120 Mckown Dr Ste B, Norman, OK 73072 | 2017-01-20 |
| 1881139319 | Heritage Dental Group LLC | Dentist | 3600 W Tecumseh Rd, Norman, OK 73072 | 2016-12-19 |
| 1043699150 | Alan Jay Washington | Social Worker | 3200 Marshall Ave. Outpatient Services-norman, Suite 220 Strong Family Development, Norman, OK 73072 | 2015-05-21 |
| Find all providers in zip 73072 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245752617 | Irfan Ahmed | Psychiatry & Neurology | 900 E. Main St., Norman, OK 73070 | 2017-07-07 |
| 1588929806 | Najma Hamdani | Psychiatry & Neurology | 3524 National Dr Ste 4, Norman, OK 73069 | 2012-07-12 |
| 1336410521 | The Norman Add Center, Pllc | Psychiatry & Neurology | 730 Asp Ave, Suite 210, Norman, OK 73069-4933 | 2012-01-19 |
| 1487943494 | Roy Thomas Donovan | Psychiatry & Neurology | 4312 Spyglass Dr, Norman, OK 73072-8571 | 2011-03-30 |
| 1427371400 | Norman Psychiatry and Psychotherapy Group, Pllc | Psychiatry & Neurology | 3524 National Dr, Norman, OK 73069-8222 | 2010-03-05 |
| 1164759791 | Asma Mudassir | Psychiatry & Neurology | 900 E. Main St, Griffin Memorial Hospital, Norman, OK 73071-4479 | 2009-11-03 |
| 1912138538 | Ajwj Group LLC | Psychiatry & Neurology | 1700 Teakwood Cir, Norman, OK 73071-2095 | 2009-07-30 |
| 1285860643 | Fadalia D Kim | Psychiatry & Neurology | 2782 Washington Dr Ste 100, Norman, OK 73069-1013 | 2009-05-29 |
| 1144469339 | Herndon C. Aderhold | Psychiatry & Neurology | 900 East Main Street, 5598, Norman, OK 73071 | 2009-02-11 |
| 1871788059 | Julia Jane Irwin, Md, PC | Psychiatry & Neurology | 820 Wall Street, Norman, OK 73069 | 2007-09-11 |
| Find all providers in NORMAN | ||||
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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.