DR. JULIE SCHROEDER WALLACE (NPI# 1255681839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255681839 |
| Entity Type | Individual |
| Full Name | DR. JULIE SCHROEDER WALLACE |
| Credential | PH.D |
| Practice Address |
4334 Nw Expressway Suite 102 Oklahoma City OK 73116-1515 |
| Mailing Address |
1701 Nw 193rd Cir Edmond OK 73012-3553 |
| Practice Telephone | 4057408800 |
| Practice Fax Number | 4056572556 |
| Mailing Telephone | 4057408800 |
| Mailing Fax Number | 4056572556 |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2016-02-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 823 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083884258 | Julie B Wallace | Massage Therapist | 4340 E Kentucky Ave Ste 446, Glendale, CO 80246-2078 | 2008-03-04 |
| 1871592329 | Julie A Wallace | Family Medicine | 4444 Arlington Rd, Uniontown, OH 44685-9508 | 2005-07-18 |
| 1245755156 | Julie Wallace | Dietitian, Registered | 10 Glenlake Pkwy Ste 130, Atlanta, GA 30328-3495 | 2017-08-11 |
| 1003249855 | Julie Gilman Wallace | Physical Therapist | 1601 E 19th Ave, Denver, CO 80218-1216 | 2013-08-15 |
| 1164672838 | Julie Ann Wallace | Nurse Practitioner | 2359 Springs Rd Ne, Hickory, NC 28601-3067 | 2008-09-30 |
| 1811068778 | Julie Wallace | Dentist | 303 Main Street, Elk River, MN 55330 | 2006-11-13 |
| 1417056524 | Julie Bourne Wallace | Speech-Language Pathologist | 2620 Wilhite Dr, Suite 222, Lexington, KY 40503-3385 | 2006-09-22 |
| 1275562753 | Julie M Wallace | Physical Therapist | 510 Towne Dr, Suite 100, Fayetteville, NY 13066-1331 | 2006-06-30 |
| Street Address |
4334 NW EXPRESSWAY SUITE 102 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73116-1515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588667703 | Lynn Sims | Counselor | 4334 Nw Expressway, Ste 266, Oklahoma City, OK 73116-1578 | 2005-05-23 |
| 1003342320 | Calm Waters Center for Children and Families | Community/Behavioral Health | 4334 Nw Expressway, Suite 101, Oklahoma City, OK 73116-1578 | 2017-05-05 |
| 1295188068 | Bright Eyes Family Services, LLC | Community/Behavioral Health | 4334 Nw Expressway, Suite 211, Oklahoma City, OK 73116-1578 | 2016-07-18 |
| 1063815546 | Bart Burdick | Nurse Practitioner | 4334 Nw Expressway, Suite 175, Oklahoma City, OK 73116-1578 | 2014-09-29 |
| 1952679086 | Tamara Altstatt | Nurse Practitioner | 4334 Nw Expressway, Suite 175, Oklahoma City, OK 73116-1578 | 2011-12-03 |
| 1255619292 | Lacy D'ann Holderread | Nurse Practitioner | 4334 Nw Expressway, Suite 175, Oklahoma City, OK 73116-1578 | 2011-07-25 |
| 1124326517 | New Direction Home Dialysis LLC | Clinic/Center | 4334 Nw Expressway, Suite 165, Oklahoma City, OK 73116-1515 | 2011-03-08 |
| 1568766863 | Sean Kenny George | Physician Assistant | 4334 Nw Expressway, Suite 201, Oklahoma City, OK 73116-1578 | 2010-12-29 |
| 1700193562 | Providence Home Care LLC | Home Health | 4334 Nw Expressway, Suite 176, Oklahoma City, OK 73116-1578 | 2010-09-01 |
| 1326373150 | Evaughna J Johnson | Nurse Practitioner | 4334 Nw Expressway, Suite 175, Oklahoma City, OK 73116-1578 | 2009-10-13 |
| Find all providers in the same location | ||||
| 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 | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831657592 | Jocelyn Barton Phd Inc | Psychologist | 8241 S Walker Ave Ste 200, Oklahoma City, OK 73139-9401 | 2019-03-12 |
| 1902385859 | Danell Marie Rahni | Psychologist | 17300 Serrano Dr, Oklahoma City, OK 73170 | 2018-08-11 |
| 1588188072 | Kathryn Jeter | Psychologist | 1200 Childrens Ave Ste 12400, Oklahoma City, OK 73104-4637 | 2017-07-27 |
| 1669912598 | Christopher Gibson | Psychologist | 2810 Dorchester Dr, 17, Oklahoma City, OK 73120-4561 | 2017-02-25 |
| 1811240161 | Teresa Davis Baird | Psychologist | 3537 Ne Military Cir, Oklahoma City, OK 73111-4305 | 2012-10-24 |
| 1801031448 | Mary Rose Rolison | Psychologist | 10802 Quail Plaza Dr, #203, Oklahoma City, OK 73120-3116 | 2008-12-11 |
| 1437361847 | Dena Pinson | Psychologist | 5500 N Western Ave Ste 157, Oklahoma City, OK 73118-4018 | 2007-05-06 |
| 1548482169 | Philip C. Hyde, Ph.d., P.C. | Psychologist | 1117 Nw 50th. St., Oklahoma City, OK 73118-4401 | 2007-05-03 |
| 1093935686 | Janet Kates | Psychologist | 5818 Nw 50th, Suite 200, Oklahoma City, OK 73123-3671 | 2007-04-26 |
| 1316003809 | Ryan M Scott | Psychologist | 2433 Nw 30th St, Oklahoma City, OK 73112-7803 | 2006-12-29 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73116 |
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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.