JENNIFER BENTON, PHD, PLLC (NPI# 1518211747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518211747 |
| Entity Type | Organization |
| Organization Name | JENNIFER BENTON, PHD, PLLC |
| Practice Address |
4815 S Harvard Ave Suite 470 Tulsa OK 74135-3055 |
| Practice Telephone | 9183924866 |
| Practice Fax Number | 9183924867 |
| Mailing Telephone | 9183924866 |
| Mailing Fax Number | 9183924867 |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2012-11-09 |
| Authorized Official Name | DR. JENNIFER M BENTON (PSYCHOLOGIST) |
| Authorized Official Telephone | 9183924866 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1057 | OK | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | INDIVIDUAL NPI# -TYPE I | 1609927219 | 01 |
| Street Address |
4815 S HARVARD AVE SUITE 470 |
| City | TULSA |
| State | OK |
| Zip Code | 74135-3055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013968544 | Shari Leann Holder | Specialist | 4815 S Harvard Ave, Suite #455, Tulsa, OK 74135-3055 | 2006-05-12 |
| 1285189316 | The Cataract Vision Institute LLC | Clinic/Center | 4815 S Harvard Ave, Suite 128, Tulsa, OK 74135-3055 | 2016-08-18 |
| 1073962569 | Janet Willis, Ph.d., Pllc | Community/Behavioral Health | 4815 S Harvard Ave, Suite 525, Tulsa, OK 74135-3055 | 2016-06-06 |
| 1801240288 | The Lasik Vision Institute LLC | Clinic/Center | 4815 S Harvard Ave, Suite 128, Tulsa, OK 74135-3055 | 2016-04-21 |
| 1972977114 | Piece of Mind Counseling & Consultation | Community/Behavioral Health | 4815 S Harvard Ave, Tulsa, OK 74135-3055 | 2015-11-28 |
| 1093104127 | Kelly Dunbar Davison | Counselor | 4815 S Harvard Ave, Suite 428, Tulsa, OK 74135-3055 | 2015-01-13 |
| 1053650903 | Psychological Services, PC | Psychologist | 4815 S Harvard Ave, Suite 250, Tulsa, OK 74135-3060 | 2013-02-12 |
| 1386873511 | Jaymie Vanmeter | Counselor | 4815 S Harvard Ave, Tulsa, OK 74135-3055 | 2009-07-09 |
| 1043449234 | Kimberly Creedence Dunn | Physical Therapy Assistant | 4815 S Harvard Ave, Tulsa, OK 74135-3055 | 2009-07-08 |
| 1730377243 | Ron Duncan | Physical Therapist | 4815 S Harvard Ave, Tulsa, OK 74135-3055 | 2007-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761590 | Dr. Whitney M. Ellsworth, Dpt, Pllc | Physical Therapist | 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 | 2020-08-20 |
| 1942839089 | Kimberly Renee Gillens | Student in an Organized Health Care Education/Training Program | 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 | 2020-04-01 |
| 1528525524 | Everest Pain Management | Clinic/Center | 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 | 2019-02-26 |
| 1326524216 | Shelley Deeann Anderson | Technician | 7359 S 68th, Tulsa, OK 74135 | 2018-07-14 |
| 1811489065 | Taylor Diane Spears | Behavioral Analyst | 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 | 2018-06-04 |
| 1225547821 | Heather Nicole Freed | Counselor | 4363 S Harvard Ave, Tulsa, OK 74135 | 2017-09-26 |
| 1306363924 | Danielle Walker | Case Manager/Care Coordinator | 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 | 2017-08-24 |
| 1346766078 | Angels Place | Day Training, Developmentally Disabled Services | 3919 S. Oswego Avenue, Tulsa, OK 74135 | 2017-08-15 |
| 1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
| 1346774197 | Brandie Herren | Registered Nurse | 6333 E Skelly Drive, Tulsa, OK 74135 | 2017-04-19 |
| Find all providers in zip 74135 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255979340 | Tulsa Children's Development Center | Psychologist | 6931 S 66th East Ave Ste 200, Tulsa, OK 74133-1765 | 2019-12-19 |
| 1770084600 | Lisa Cromer | Psychologist | 8810 S Yale Ave Ste J, Tulsa, OK 74137-3551 | 2018-02-26 |
| 1124557426 | State of Oklahoma - Osu Center for Health Science College of Osteopath | Psychologist | 2488 E 81st St Ste 3700, Tulsa, OK 74137-4290 | 2017-06-08 |
| 1518339829 | Nathan Brusich | Psychologist | 5230 E 69th Pl, Tulsa, OK 74136-3407 | 2015-10-26 |
| 1649530023 | Namik Kirlic | Psychologist | 1304 W Easton St, Tulsa, OK 74127-6903 | 2012-05-21 |
| 1336448455 | Victoria Leigh Tracy | Psychologist | 7146 S Braden Ave Ste 700, Tulsa, OK 74136-6335 | 2011-03-16 |
| 1598061780 | Diane Constance Kirk | Psychologist | 3010 S Harvard Avenue, Suite 110, Tulsa, OK 74114-6124 | 2011-02-04 |
| 1841509197 | Victoria Lee Mccoy | Psychologist | 6655 S. Yale A, Laureate Psychiatric Clinic and Hospital, Tulsa, OK 74136 | 2010-10-05 |
| 1023295672 | John Stewart II | Psychologist | 5100 E Skelly Dr Ste 130, Tulsa, OK 74135 | 2008-01-25 |
| 1952506727 | Horace Wade Bedwell | Psychologist | 7945 S Lakewood Ave, Tulsa, OK 74136-9106 | 2007-06-20 |
| Find all providers in TULSA | ||||
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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.