MR. LAKEDRICK PAPA NII NEEQUAYE (NPI# 1649530874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649530874 |
| Entity Type | Individual |
| Full Name | MR. LAKEDRICK PAPA NII NEEQUAYE |
| Practice Address |
4209 Nw 23rd St Ste 100 Oklahoma City OK 73107-2645 |
| Practice Telephone | 4059171709 |
| Mailing Telephone | 4059171709 |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 352409511 | 05 |
| Street Address |
4209 NW 23RD ST STE 100 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73107-2645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366791279 | Tyana Renieka Dixon | Behavioral Analyst | 4209 Nw 23rd St Ste 100, Oklahoma City, OK 73107-2645 | 2012-09-06 |
| 1811252323 | Andrea Dawn Rios | Behavioral Analyst | 4209 Nw 23rd St Ste 100, Oklahoma City, OK 73107-2645 | 2012-07-10 |
| 1689934549 | Trent Stacey Jones | Psychologist | 4209 Nw 23rd St Ste 100, Oklahoma City, OK 73107-2645 | 2012-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144747999 | Ellen Rose Pochyly | Counselor | 2617 General Pershing Boulevard, Oklahoma City, OK 73107 | 2017-08-23 |
| 1609399906 | Carrie Ann Moore | Counselor | 2617 General Pershing Blvd., Oklahoma City, OK 73107 | 2017-07-19 |
| 1821511320 | Diana Lynn Spencer | Counselor | 2617generalpershingblvd, Oklahoma City, OK 73107 | 2017-07-18 |
| 1861859514 | Catherine Evans | Counselor | 500 N Meridian Ave Ste 409, Oklahoma City, OK 73107 | 2016-01-26 |
| 1871964551 | Kizzy Frazier | Student in an Organized Health Care Education/Training Program | 1233 N Warren Pl, Oklahoma City, OK 73107 | 2015-10-07 |
| 1538550629 | Oklahoma Department of Mental Health and Substance Abuse | Case Management | 2625 General Pershing Boulevard, Oklahoma City, OK 73107 | 2015-02-10 |
| 1952702276 | Andale Healthcare, LLC | Clinic/Center | 2305 N. Meridian, Oklahoma City, OK 73107 | 2014-09-05 |
| 1114339348 | John Walls | Psychologist | 2012 North Villa Avenue, Oklahoma City, OK 73107 | 2014-05-22 |
| 1376970517 | Latrice Warrior | Community/Behavioral Health | 2625 General Pershing Drive, Oklahoma City, OK 73107 | 2013-10-02 |
| 1326485541 | Debra Sue Vaughan | Counselor | 2617 Genral Pershing Blvd, Oklahoma City, OK 73107 | 2013-05-29 |
| Find all providers in zip 73107 | ||||
| Taxonomy Code | 103TR0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275946683 | Silvia De Loera | Psychologist | 1416 Nw 126th St, Oklahoma City, OK 73120-5100 | 2014-06-04 |
| 1194075317 | Shanika M Stepeny | Psychologist | 5929 N. May Ave, Suite 218, Oklahoma City, OK 73112-3909 | 2012-09-14 |
| 1295096022 | Erica Antionette Young | Psychologist | 9300 S Indiana Ave, Oklahoma City, OK 73159-7122 | 2012-06-07 |
| 1346500733 | Sha-akeelah V Jones | Psychologist | 4209 N W 23 Rd Ste 100, Oklahoma City, OK 73107 | 2012-05-21 |
| 1598036055 | Sharleen Louise Dewane | Psychologist | 5546 N Portland Ave, Apt 260, Oklahoma City, OK 73112-1913 | 2012-01-14 |
| 1588933428 | Adekunle O Adeleye | Psychologist | 10308 S Klein Ave, Oklahoma City, OK 73139-2970 | 2011-12-21 |
| 1326317678 | Horace Earl Scott Jr. | Psychologist | 3000 N Forest Park Dr, Oklahoma City, OK 73121-2430 | 2011-12-15 |
| 1194092296 | Tashika Maxwell | Psychologist | 608 Nw 97th St, Oklahoma City, OK 73114-6420 | 2011-11-17 |
| 1245514751 | John Brett Mccuan | Psychologist | 3131 Sw 63rd St, Oklahoma City, OK 73159-1209 | 2011-10-03 |
| 1457634511 | Jerome Latray Phillips | Psychologist | 5400 Willow Cliff Rd Apt 436, Oklahoma City, OK 73122-6341 | 2011-09-26 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73107 |
Please comment or provide details below to improve the information on MR. LAKEDRICK PAPA NII NEEQUAYE.
| 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.