SOUTHERN OKLAHOMA PSYCHOLOGICAL ASSOCIATES INC. (NPI# 1336335314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336335314 |
| Entity Type | Organization |
| Organization Name | SOUTHERN OKLAHOMA PSYCHOLOGICAL ASSOCIATES INC. |
| Practice Address |
422 S Highland St Ada OK 74820-6949 |
| Practice Telephone | 5803329531 |
| Mailing Telephone | 5803329531 |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-10-26 |
| Authorized Official Name | DR. REUBIN M. WIGDOR (PRESIDENT) |
| Authorized Official Telephone | 5803329531 |
| Authorized Official Credential | PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
516 | OK | Behavioral Health & Social Service Providers |
| Street Address |
422 S HIGHLAND ST |
| City | ADA |
| State | OK |
| Zip Code | 74820-6949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578103727 | Curry Orthopedics and Sports Medicine Pllc | Orthopaedic Surgery | 919 Colony Drive, Ada, OK 74820 | 2020-01-15 |
| 1215574603 | Miranda Denise Bowman | Counselor | 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 | 2019-12-04 |
| 1326509654 | Patricia June Harjo | Case Manager/Care Coordinator | Nittak Himitta' Women's and Children's Recovery Center, 2024 Te Ata Drive, Ada, OK 74820 | 2019-03-28 |
| 1649737172 | Rylee Nikole Leblanc | Case Manager/Care Coordinator | 1119 S High School St, Ada, OK 74820 | 2019-02-20 |
| 1891251328 | David Kinback | Rehabilitation Counselor | 1400 Hoppe Blvd., Suite 3, Cn Recovery Resource Services, Ada, OK 74820 | 2019-02-20 |
| 1922571009 | Central Oklahoma Family Medical Center, Inc. | Pharmacy | 905 Colony Dr, Ada, OK 74820 | 2019-01-10 |
| 1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
| 1265907885 | Apex Surgery Center, LLC | Surgery | 2001 Cradduck Road, Ada, OK 74820 | 2018-10-10 |
| 1689150898 | Sabrina Simmons | Social Worker | 2516 Oakhurst Dr Apt E, Ada, OK 74820 | 2018-07-11 |
| 1700370467 | Brianna Leigh Youngwolfe | Nurse Practitioner | 2020 Arlington St Ste 6, Ada, OK 74820 | 2018-06-17 |
| Find all providers in zip 74820 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922247162 | Daniel K. Ehnis, PC | Psychologist | 4670 E. Fulton, Suite 101, Ada, MI 49301-8409 | 2009-02-11 |
| 1205042827 | Cheryl E Samuels | Psychologist | 975 Spaulding Ave Se Ste D, Ada, MI 49301-3776 | 2007-05-14 |
| 1174623789 | Jerry N. Duncan | Psychologist | 119 N Broadway Ave, Suite 104, Ada, OK 74820-5049 | 2006-09-24 |
| 1063405769 | Billy Joe Boyd IIi | Psychologist | 1300 Hoppe Blvd Outpatient Services-ada, Suite 6 Strong Family Development, Ada, OK 74820 | 2005-08-26 |
| 1407494982 | River Way Psychological Services | Psychologist | 975 Spaulding Ave Se Ste D, Ada, MI 49301-3776 | 2019-12-16 |
| 1407392129 | Cynthia Joyce Kok | Psychologist | 983 Spaulding Ave Se, Ada, MI 49301-3701 | 2017-01-19 |
| 1568714863 | Robert Labadie Funaro | Psychologist | 967 Spaulding Ave Se, Suite E, Ada, MI 49301-3700 | 2012-10-10 |
| 1194088377 | Kjc323pllc | Psychologist | 967 Spaulding Ave Se, Suite E, Ada, MI 49301-3700 | 2012-06-21 |
| 1518153626 | Association of Christian Therapists, Inc. | Psychologist | 119 N Broadway, Suite 104, Ada, OK 74820 | 2007-09-21 |
| 1083765812 | Kathleen Jandernoa Cramer | Psychologist | 967 Spaulding Ave Se, Ada, MI 49301-3700 | 2007-01-16 |
| Find all providers in ADA | ||||
Please comment or provide details below to improve the information on SOUTHERN OKLAHOMA PSYCHOLOGICAL ASSOCIATES INC..
| 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.