DR. REUBIN MORRIS WIGDOR


Address: 120 N Forrest, Stratford, OK 74872-4652
Phone: 5804367048

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
OK 100632190A 05
OK 100632190B 05

Office Location

Street Address 120 N FORREST
City STRATFORD
State OK
Zip Code 74872-4652

Providers in the same zip code

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 Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City STRATFORD
Zip Code 74872

Improve Information

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Dataset Information

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.

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