OSU PSYCHOLOGICAL SERVICE CENTER (NPI# 1316246754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316246754 |
| Entity Type | Organization |
| Organization Name | OSU PSYCHOLOGICAL SERVICE CENTER |
| Practice Address |
118 N Murray Hall Stillwater OK 74078-3060 |
| Practice Telephone | 4057445975 |
| Practice Fax Number | 4057442826 |
| Mailing Telephone | 4057445975 |
| Mailing Fax Number | 4057442826 |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2011-03-24 |
| Authorized Official Name | DR. R MATT ALDERSON (CLINIC DIRECTOR) |
| Authorized Official Telephone | 4057445975 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
118 N MURRAY HALL |
| City | STILLWATER |
| State | OK |
| Zip Code | 74078-3060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912128836 | Maureen A. Sullivan | Psychologist | 118 N Murray Hall, Stillwater, OK 74078-3064 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477930428 | Claire Williams | Specialist/Technologist | 170f Athletics Center, Stillwater, OK 74078 | 2015-04-29 |
| 1114216959 | Kara Sue Niccum | Counselor | 320 Student Union, Stillwater, OK 74078 | 2011-04-01 |
| 1992028971 | Trevor Richardson | Psychologist | 316 Student Union, Stillwater, OK 74078 | 2010-03-05 |
| 1639391584 | Jason R Miller | Specialist/Technologist | Oklahoma State University, Athletics Center, Stillwater, OK 74078 | 2007-05-02 |
| 1396877957 | Thomas Jai Gross | Counselor | 434 Willard Hall, Oklahoma State University, Stillwater, OK 74078 | 2007-03-09 |
| 1043373533 | Val Gene Iven | Internal Medicine | 170 Athletics Center, Osu Sportsmedicine, Stillwater, OK 74078 | 2006-12-18 |
| 1851940365 | Sherri Norton | Speech-Language Pathologist | 042 Murray Hall, Stillwater, OK 74078 | 2019-09-06 |
| 1629224720 | Kristi Dee Carpenter | Speech-Language Pathologist | 042 Murray Hall, Stillwater, OK 74078 | 2008-08-08 |
| 1700994878 | Oklahoma State University | Audiologist | 042 Murray, Stillwater, OK 74078 | 2006-08-28 |
| 1922658301 | James Kenneth Jefferson | Specialist/Technologist | 200 Athletic Center Gallagher Iba Arena, Stillwater, OK 74078-0001 | 2019-09-17 |
| Find all providers in zip 74078 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790191252 | Jenna Wieden | Psychologist | 333 Main St N Ste 110, Stillwater, MN 55082-5054 | 2014-07-05 |
| 1861653750 | Kim Marie Gleich | Psychologist | 14949 62nd St N, Stillwater, MN 55082-6132 | 2008-06-23 |
| 1982817805 | Jane Louise Anglin | Psychologist | 6381 Osgood Ave N # C, Stillwater, MN 55082-6118 | 2007-05-07 |
| 1447301908 | Mary G Freitag | Psychologist | 10480 Perkins Ave N, Stillwater, MN 55082-9273 | 2007-01-12 |
| 1598820367 | Donae Verbena Gustafson | Psychologist | 6120 Oren Ave N, Stillwater, MN 55082-6155 | 2006-12-22 |
| 1376628164 | Bonnie Joy Scott | Psychologist | 215 W Mcelroy Rd, Suite 1, Stillwater, OK 74075-3537 | 2006-10-27 |
| 1952416638 | Camille Mary Kulka | Psychologist | 333 Main St N Ste 205, Stillwater, MN 55082-5054 | 2006-08-20 |
| 1609886407 | Patrick Edward Shields | Psychologist | 1940 Greeley St S, 202a, Stillwater, MN 55082-5097 | 2006-08-08 |
| 1316954746 | Lawrence Benjamin Fulgenzi | Psychologist | 6414 E 19th Ave, Stillwater, OK 74074-8472 | 2006-08-01 |
| 1669495453 | Barbara Walker | Psychologist | 375 Orleans St E, Stillwater, MN 55082-5830 | 2006-07-25 |
| Find all providers in STILLWATER | ||||
| City | STILLWATER |
| Zip Code | 74078 |
Please comment or provide details below to improve the information on OSU PSYCHOLOGICAL SERVICE CENTER.
| 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.