BEHAVIORAL MEDICINE ASSOCIATES, INC. (NPI# 1508989153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508989153 |
| Entity Type | Organization |
| Organization Name | BEHAVIORAL MEDICINE ASSOCIATES, INC. |
| Other Organization Name | CHILDRENS INSTITUTE OF BEHAVIORAL MEDICINE |
| Practice Address |
3200 Medical Park Dr Shawnee OK 74804-1744 |
| Practice Telephone | 4058783432 |
| Practice Fax Number | 4053955699 |
| Mailing Telephone | 4058783432 |
| Mailing Fax Number | 4053955699 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2011-06-20 |
| Authorized Official Name | THOMAS JOHN VAUGHN JR. (PSYCHOLOGIST) |
| Authorized Official Telephone | 4058783432 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 286 | OK | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Childrens Institute of Behavioral Medicine | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750451746 | Behavioral Medicine Associates, Inc. | Psychologist | 601 W 2nd St Ste 10, Roswell, NM 88201-4670 | 2006-11-08 |
| 1760549893 | Behavioral Medicine Associates, Inc. | Psychologist | 3300 Edinborough Way, Suite 204, Edina, MN 55435-5923 | 2007-01-01 |
| Street Address |
3200 MEDICAL PARK DR |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74804-1744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306814777 | Khalid A Khan | Anesthesiology | 3200 Medical Park Dr, Shawnee, OK 74804-5014 | 2006-03-10 |
| 1033461975 | Oklahoma Sports and Orthopedics Institute Pllc | Orthopaedic Surgery | 3200 Medical Park Dr, Shawnee, OK 74804-5014 | 2012-10-02 |
| 1841334166 | Oklahoma Spine Diagnostic and Pain Treatment Center Pllc | Pain Medicine | 3200 Medical Park Dr, Shawnee, OK 74804-5014 | 2007-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063699 | Isaac Benjamin Gray | Student in an Organized Health Care Education/Training Program | 4010 Blaine Road, Shawnee, OK 74804 | 2019-10-06 |
| 1750863775 | Dillon Gibson | Specialist/Technologist | Oklahoma Baptist University, 500 W. University, Shawnee, OK 74804 | 2018-09-06 |
| 1912368242 | Peggy Baker | Occupational Therapist | 7602 N. Kickapoo, Shawnee, OK 74804 | 2016-03-15 |
| 1861731093 | Shariff Mohammed El-assi | Behavioral Analyst | 45 Crown Point, Shawnee, OK 74804 | 2013-02-07 |
| 1902103112 | Action Physical Therapy & Rehabilitation, Pllc | Physical Therapist | 2506 N Harrison, Shawnee, OK 74804 | 2011-02-24 |
| 1639493315 | Oklahoma Em - 1 Medical Services,p.c. | Emergency Medicine | 1102 W.macarthur, Shawnee, OK 74804 | 2010-03-24 |
| 1790989473 | Eastern Oklahoma Radiation Associates, LLC | Radiology | 3700 N Kickapoo Ave Ste 108, Shawnee, OK 74804 | 2007-06-14 |
| 1821210444 | Mickey Sehorn D.d.s., P.C. | Dentist | 1601 Airport Drive, Shawnee, OK 74804 | 2007-05-03 |
| 1760525711 | Leanna Rae Olsen | Registered Nurse | 1500 N. Kickapoo, Suite #4, Shawnee, OK 74804 | 2007-02-15 |
| 1467517920 | Mahmoud Abdel-fattah Khalifa | Pathology | Unity Health Center, 1102 West Macarthur, Shawnee, OK 74804 | 2006-12-26 |
| Find all providers in zip 74804 | ||||
| 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 |
|---|---|---|---|---|
| 1073811659 | Georgia Frangou | Psychologist | 5412 Summit Ct, Shawnee, KS 66216-5101 | 2011-03-07 |
| 1326234782 | David M. Egan | Psychologist | 12314 W 73rd Ter, Shawnee, KS 66216-3673 | 2007-09-19 |
| 1265652622 | Ronald Leon Lybarger | Psychologist | 23402 W 45th Ter, Shawnee, KS 66226-2430 | 2007-04-26 |
| 1942375274 | M Gerald Ball | Psychologist | 819 North Kickapoo, Shawnee, OK 74801 | 2006-11-21 |
| 1619442407 | Danielle Carlson | Psychologist | 6440 Nieman Rd, Shawnee, KS 66203-3326 | 2018-10-08 |
| 1346778941 | Shelby Taylor Hopkins | Psychologist | 6440 Nieman Rd, Shawnee, KS 66203-3326 | 2017-05-25 |
| 1285042002 | Ken D Bond Jr. | Psychologist | 1127 N Kickapoo Ave, Shawnee, OK 74801-4845 | 2014-07-24 |
| 1144587304 | Jennifer M Jones | Psychologist | 6440 Nieman Rd, Shawnee, KS 66203-3326 | 2012-04-12 |
| 1205957966 | Michelle Dianne Burchyett | Psychologist | 6440 Nieman Rd, Shawnee, KS 66203-3326 | 2007-04-02 |
| 1003937764 | Matthew R Botkin | Psychologist | 6440 Nieman Rd, Shawnee, KS 66203-3326 | 2007-04-02 |
| Find all providers in SHAWNEE | ||||
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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.