DOUGLAS O BRADY (NPI# 1467660803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467660803 |
| Entity Type | Individual |
| Full Name | DOUGLAS O BRADY |
| Credential | PH.D. |
| Practice Address |
503 Nw Sheridan Rd Suite A Lawton OK 73505-6521 |
| Mailing Address |
1401 Sw Parkridge Blvd Ste D Lawton OK 73505-9200 |
| Practice Telephone | 5803557474 |
| Practice Fax Number | 5803556765 |
| Mailing Telephone | 5803557474 |
| Mailing Fax Number | 5803556765 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2017-01-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 213637 | TX | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 198 | OK | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | BLUE CROSS BLUE SHIELD | 731279230001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487140208 | Douglas Brady | Chiropractor | 6819 W Tropicana Ave Ste 100, Las Vegas, NV 89103-4929 | 2018-07-04 |
| 1861680522 | Douglas James Brady | Physical Therapist | 607 Louis Dr, Suite H, Warminster, PA 18974-2843 | 2007-10-09 |
| Street Address |
503 NW SHERIDAN RD SUITE A |
| City | LAWTON |
| State | OK |
| Zip Code | 73505-6521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780892125 | Sharon Smith Brady | Psychologist | 503 Nw Sheridan Rd, Suite A, Lawton, OK 73505-6521 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
| 1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
| 1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
| 1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
| 1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
| 1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
| 1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
| 1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
| 1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
| 1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
| Find all providers in zip 73505 | ||||
| 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 |
|---|---|---|---|---|
| 1477687614 | Brady & Brady, P.C. | Psychologist | 1401 Sw Park Ridge Blvd, Suite D, Lawton, OK 73505-9200 | 2007-03-16 |
| 1295837987 | Patricia Brandon | Psychologist | 2406 Nw Redwood Ln, Lawton, OK 73505-1313 | 2006-09-02 |
| 1720027659 | John Batka Phd PC | Psychologist | 1711 W Gore Blvd, Suite C, Lawton, OK 73501-3638 | 2006-06-06 |
| 1225039035 | Leah Dick | Psychologist | 1001 Sw B Ave, Suite 120, Lawton, OK 73501-3967 | 2005-08-02 |
| 1750616710 | Parisa Montazeri | Psychologist | 1602 Sw 82nd St, Lawton, OK 73505-9012 | 2009-10-08 |
| 1780892125 | Sharon Smith Brady | Psychologist | 503 Nw Sheridan Rd, Suite A, Lawton, OK 73505-6521 | 2007-05-18 |
| 1891796488 | Kenneth Dick | Psychologist | 1001 Sw B Ave, Suite 120, Lawton, OK 73501-3967 | 2005-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578128070 | Jason Ruggieri | Psychologist | 527 Gott Road, Bldg 816, Enid, OK 73705-5103 | 2019-05-09 |
| 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 |
| 1023557139 | Stephen Grissom | Psychologist | 3736 E 82nd Pl, Tulsa, OK 74137-1605 | 2017-02-22 |
| 1073050308 | David Wakefield | Psychologist | 7205 S Ash Pl, Broken Arrow, OK 74011-6810 | 2017-01-25 |
| 1770937229 | Talking Leaves Job Corps | Psychologist | 5700 Bald Hill Road, Tahlequah, OK 74465-1066 | 2016-04-21 |
| 1407224025 | Susan Howard Psychological Services, Pllc | Psychologist | Hwys 70 & 81, Waurika, OK 73573-0207 | 2015-09-14 |
| 1871978908 | Lyla English | Psychologist | 520 W Division St, Stilwell, OK 74960-2812 | 2015-07-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DOUGLAS O BRADY.
| 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.