DR. REUBIN MORRIS WIGDOR (NPI# 1447311824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447311824 |
Entity Type | Individual |
Full Name | DR. REUBIN MORRIS WIGDOR |
Credential | PHD |
Practice Address |
120 N Forrest Stratford OK 74872-4652 |
Mailing Address |
610 E 24th St Tishomingo OK 73460-3245 |
Practice Telephone | 5804367048 |
Practice Fax Number | 5807592174 |
Mailing Telephone | 5803712343 |
Mailing Fax Number | 5803712451 |
Enumeration Date | 2006-12-12 |
Last Update Date | 2020-07-10 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
Y | 103T00000X | Psychologist | 516 | OK | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 100632190A | 05 | |
OK | 100632190B | 05 |
Street Address |
120 N FORREST |
City | STRATFORD |
State | OK |
Zip Code | 74872-4652 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780137208 | Rhonda Prichard | Case Manager/Care Coordinator | 200 Cottonwood Circle, Stratford, OK 74872 | 2016-08-02 |
1114309317 | Destiny Ruosa Mitchell | Nurse Practitioner | 217 W Smith Street, Stratford, OK 74872 | 2015-06-24 |
1285813089 | Tanya June Hudson | Nurse Practitioner | 217 W. Smith Street, Stratford, OK 74872 | 2007-10-29 |
1124160254 | Stratford Public Schools | Local Education Agency (LEA) | 341 N. Elm, Stratford, OK 74872 | 2007-02-13 |
1649224619 | Martin J Kubier | Physician Assistant | 217 W Smith, Stratford, OK 74872 | 2006-05-22 |
1720422785 | Mercy Hospital Ada, Inc | Clinic/Center | 217 West Smith St, Stratford, OK 74872 | 2013-04-22 |
1346306644 | Medical Center of Stratford | Family Medicine | 217 W Smith, Stratford, OK 74872 | 2006-12-29 |
1801003934 | Valley View Regional Hospital | Clinic/Center | 217 West Smith St, Stratford, OK 74872-0001 | 2007-05-17 |
1669559746 | Jason T Mcdonald | Pharmacist | 120 West Main, Stratford, OK 74872-0150 | 2006-11-01 |
1538230354 | Bayless Drug Inc | Durable Medical Equipment & Medical Supplies | 120 W Main, Stratford, OK 74872-0150 | 2006-11-13 |
Find all providers in zip 74872 |
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 |
---|---|---|---|---|
1184825804 | Phyllis F Hopkins | Psychologist | 345 Quenby Pl, Stratford, CT 06614-1865 | 2007-05-30 |
1548363146 | Joan F Coroso | Psychologist | 40 Mcleod Pl, Stratford, CT 06614-2163 | 2006-09-07 |
1790892057 | Marilyn R Dean | Psychologist | C3800 Heartland Hills Rd, Stratford, WI 54484-9488 | 2006-08-24 |
1073086369 | Rowansom Cares Institute | Psychologist | 42 E Laurel Rd Ste 1100, Stratford, NJ 08084-1354 | 2019-01-09 |
1811489420 | Rowansom Newjersey Institute for Successful Aging-geriatric Psychiatry | Psychologist | 42 E Laurel Rd Ste 1800, Stratford, NJ 08084-1338 | 2018-05-31 |
1407210370 | Rowansom Dept. of Psychiatry | Psychologist | 42 E Laurel Rd, Suite 2100, Stratford, NJ 08084-1354 | 2016-04-07 |
1003284332 | Cleveland D. Rea Jr. | Psychologist | 109 E Laurel Rd, 1st Floor, Stratford, NJ 08084-1324 | 2015-09-03 |
1841668225 | Pamela Kane | Psychologist | 109 E Laurel Rd, 1st Floor, Stratford, NJ 08084-1324 | 2015-09-02 |
1821496936 | Joanna Petrides | Psychologist | 42 E Laurel Rd, Suite 2100, Stratford, NJ 08084-1354 | 2014-12-05 |
1831500610 | Eliza Batlle | Psychologist | 42 E Laurel Rd Ste 1100, Stratford, NJ 08084-1354 | 2014-05-14 |
Find all providers in STRATFORD |
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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.