MR. RICKEY DEAN SHORT (NPI# 1487950788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487950788 |
| Entity Type | Individual |
| Full Name | MR. RICKEY DEAN SHORT |
| Credential | LADC |
| Practice Address |
3750 W Main St Suite 206 Norman OK 73072-4657 |
| Mailing Address |
4105 Quail Dr Norman OK 73072-4518 |
| Practice Telephone | 4054478519 |
| Practice Fax Number | 4054470739 |
| Mailing Telephone | 4054478519 |
| Mailing Fax Number | 4054470739 |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2011-02-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
94 | OK | Behavioral Health & Social Service Providers |
| Street Address |
3750 W MAIN ST SUITE 206 |
| City | NORMAN |
| State | OK |
| Zip Code | 73072-4657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053388231 | Laurel A Dinkel | Social Worker | 3750 W Main St, Norman, OK 73072-4657 | 2006-03-07 |
| 1497390512 | Nexus Counseling Service, LLC | Counselor | 3750 W Main St, Norman, OK 73072-4657 | 2019-11-13 |
| 1730720178 | Life Changing Counseling and Consulting | Clinic/Center | 3750 W Main St, Norman, OK 73072-4657 | 2019-10-07 |
| 1942654975 | Kristen Morris | Dietitian, Registered | 3750 W Main St, Suite Aa, Norman, OK 73072-4657 | 2016-04-15 |
| 1942601141 | Angela Magarian, Lcsw, Christian Counseling, LLC | Social Worker | 3750 W Main St, Suite Aa, Norman, OK 73072-4657 | 2014-09-08 |
| 1659613743 | Traveling Art Therapist, LLC | Counselor | 3750 W Main St, Norman, OK 73072-4657 | 2013-03-27 |
| 1528338019 | Kaiser Consulting, Inc. | Point of Service | 3750 W Main St, Suite 154, Norman, OK 73072-4657 | 2011-12-30 |
| 1336478395 | Raegan Smith Psychological Services Ltd, PC | Psychologist | 3750 W Main St, Norman, OK 73072-4657 | 2009-12-21 |
| 1497912745 | Collyn Deshae Moone | Social Worker | 3750 W Main St, Ste. 244, Norman, OK 73072-4657 | 2008-05-22 |
| 1548452196 | Karen Mayes Msw Lcsw Inc | Counselor | 3750 W Main St, Ste Aa, Norman, OK 73072-4657 | 2007-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326684630 | Summer Crawford | Nurse Practitioner | 2080 Ok-9, Norman, OK 73072 | 2019-11-21 |
| 1962054882 | Jayme Provine | Registered Nurse | 3300 Healthplex Parkway, Lactation Dept, Norman, OK 73072 | 2019-07-11 |
| 1811556186 | Elizabeth Moore | Behavioral Analyst | 2240 36th Ave Nw, Suite 100, Norman, OK 73072 | 2019-06-11 |
| 1861950735 | Michelle Kathleen Spehr | Nurse Practitioner | 3231 Healthplex Dr., Norman, OK 73072 | 2019-03-08 |
| 1801384953 | Serena Browning | Registered Nurse | 3913 Ripple Ave, Norman, OK 73072 | 2018-04-24 |
| 1508363771 | Dental Depot of 36th & Tecumseh, Pllc | Dentist | 3401 W. Tecumseh Rd., Norman, OK 73072 | 2018-04-12 |
| 1396274809 | Balance Hormone Center | Physician Assistant | 3351 W. Rock Creek Rd Ste 100, Norman, OK 73072 | 2017-06-08 |
| 1174060792 | Rebekah Karnes | Nurse Practitioner | 2120 Mckown Dr Ste B, Norman, OK 73072 | 2017-01-20 |
| 1881139319 | Heritage Dental Group LLC | Dentist | 3600 W Tecumseh Rd, Norman, OK 73072 | 2016-12-19 |
| 1043699150 | Alan Jay Washington | Social Worker | 3200 Marshall Ave. Outpatient Services-norman, Suite 220 Strong Family Development, Norman, OK 73072 | 2015-05-21 |
| Find all providers in zip 73072 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437644010 | Marissa Foster | Counselor | 4302 Harvard Rd, Norman, OK 73072-4428 | 2018-06-26 |
| 1417461179 | Stephanie Ryan Knight | Counselor | 1327 12th Ave Ne, Norman, OK 73071-6124 | 2017-11-16 |
| 1912315391 | Shannon Jenonne Ladd | Counselor | 507 Meadow Park Dr, Norman, OK 73069-5326 | 2014-07-29 |
| 1629414883 | Michael Andrew Masten | Counselor | 508 Jean Marie Dr, Norman, OK 73069-5130 | 2013-05-15 |
| 1124307798 | Kimberly Brantley | Counselor | 1311 Fay Ave, Norman, OK 73069-7735 | 2011-08-12 |
| 1730472259 | Lillian Danielle Miller | Counselor | 1520 E Lindsey St Apt F, Norman, OK 73071-2248 | 2011-05-17 |
| 1831481522 | Angela Brew | Counselor | 901 Alameda Street, Norman, OK 73071 | 2011-05-12 |
| 1982995049 | Jonny Ray Brandon | Counselor | 304 Dollina Dr, Norman, OK 73069-7570 | 2011-04-25 |
| 1225342132 | Nilufer Safiya Aziz | Counselor | 3700 Hidden Hill Rd, Norman, OK 73072-3031 | 2010-08-03 |
| 1861703795 | Jeffrey Charles Beed | Counselor | 229 Crest Place, Norman, OK 73071-3068 | 2010-06-25 |
| Find all providers in NORMAN | ||||
Please comment or provide details below to improve the information on MR. RICKEY DEAN SHORT.
| 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.