SPECTRUM OF HOPE, LLC (NPI# 1669983409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669983409 |
| Entity Type | Organization |
| Organization Name | SPECTRUM OF HOPE, LLC |
| Other Organization Name | SOARING ON HOPE PEDIATRIC THERAPY AND AUTISM CENTER |
| Practice Address |
4908 S Sheridan Rd Tulsa OK 74145-5712 |
| Practice Telephone | 9189849153 |
| Mailing Telephone | 9189849153 |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2018-12-26 |
| Authorized Official Name | MISS JESSICA MARIE DYER (CEO AND OWNER) |
| Authorized Official Telephone | 9185103232 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
Dietary & Nutritional Service Providers | ||
| N | 172V00000X | Community Health Worker | Other Service Providers | ||
| N | 224Z00000X | Occupational Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
Behavioral Health & Social Service Providers | ||
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225XM0800X |
Occupational Therapist Specialization: Mental Health |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200745940 | 05 |
| Other Name | Type Code |
|---|---|
| Soaring On Hope Pediatric Therapy and Autism Center | Doing Business As Name - Organization |
| SOH KIDS | Doing Business As Name - Organization |
| Spectrum of Hope | Other Name - Individual/Organization |
| sunshine center pediatric therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922555044 | Spectrum of Hope, LLC | Community/Behavioral Health | 11407 Meadowlark Dr, Ijamsville, MD 21754-8917 | 2016-09-07 |
| 1386836831 | Spectrum of Hope, LLC | Community/Behavioral Health | 14110 Cypress Creek Blvd, Cypress, TX 77429-3214 | 2007-08-17 |
| Street Address |
4908 S SHERIDAN RD |
| City | TULSA |
| State | OK |
| Zip Code | 74145-5712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801550 | Jordan Makenzie Stephenson | Behavior Technician | 4908 S Sheridan Rd, Tulsa, OK 74145-5712 | 2020-11-02 |
| 1316546815 | Rachel Gray | Behavior Technician | 4908 S Sheridan Rd, Tulsa, OK 74145-5712 | 2020-10-26 |
| 1497354997 | Angel Manuel Herrera | Behavior Technician | 4908 S Sheridan Rd, Tulsa, OK 74145-5712 | 2020-10-26 |
| 1760081178 | Remy Manghum | Behavior Technician | 4908 S Sheridan Rd, Tulsa, OK 74145-5712 | 2020-10-19 |
| 1013515832 | Tiffany Jo Jones | Behavior Technician | 4908 S Sheridan Rd, Tulsa, OK 74145-5712 | 2020-10-14 |
| 1558969634 | Calisa Zoe Goldman | Behavior Technician | 4908 S Sheridan Rd, Tulsa, OK 74145-5712 | 2020-10-12 |
| 1376141457 | Mathew Tyler Grant | Behavior Technician | 4908 S Sheridan Rd, Tulsa, OK 74145-5712 | 2020-10-12 |
| 1003414194 | Blake Davis | Behavior Technician | 4908 S Sheridan Rd, Tulsa, OK 74145-5712 | 2020-10-12 |
| 1184221269 | Emmanuel Adesokan | Behavior Technician | 4908 S Sheridan Rd, Tulsa, OK 74145-5712 | 2020-10-02 |
| 1275140592 | Emily Jordan Ernst | Occupational Therapist | 4908 S Sheridan Rd, Tulsa, OK 74145-5712 | 2020-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174015606 | Grayson Elaine Kirk | Social Worker | 7028 E 32nd St, Tulsa, OK 74145 | 2018-05-31 |
| 1407378060 | Matthew Ryan Lazar | Case Manager/Care Coordinator | 3405 S 95th East Ave, Tulsa, OK 74145 | 2017-07-14 |
| 1770014243 | Sarah Truman | Counselor | 5332 S. Memorial Dr., Tulsa, OK 74145 | 2017-03-25 |
| 1265977615 | Tsaw LLC | Chiropractor | 6949-51 E. 71st St., Tulsa, OK 74145 | 2016-12-21 |
| 1740722115 | Green Country Pain Management | Internal Medicine | 6048-a S Sheridan Rd, Tulsa, OK 74145 | 2016-11-16 |
| 1790234003 | Joy Home Care Services LLC | In Home Supportive Care | 9434 E 51st Street, Tulsa, OK 74145 | 2016-09-27 |
| 1407302821 | Tammera Mcclenton | Counselor | 7225 E 58th St., Tulsa, OK 74145 | 2016-08-26 |
| 1366839482 | Tesia D. Wells | Marriage & Family Therapist | 7226 E 41st St, Tulsa, OK 74145 | 2015-04-16 |
| 1942613427 | Kevin Bonifield | Counselor | 5327 S Sheridan Rd, Tulsa, OK 74145 | 2014-06-03 |
| 1518208040 | Kelsee Lane Mccutchen | Counselor | 7477 E. 46th Place, Tulsa, OK 74145 | 2013-03-07 |
| Find all providers in zip 74145 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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|---|---|---|---|---|
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| 1578927141 | Healthworks Medical Group of Oklahoma P C | Clinic/Center | 3900 N Mingo Rd, Turbine Building Md 4, Tulsa, OK 74116-5000 | 2016-04-11 |
| 1972854768 | Morton Comprehensive Health Services, Inc. | Clinic/Center | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2012-09-20 |
| 1134474034 | Morton Comprehensive Health Services, Inc. | Clinic/Center | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2012-07-17 |
| 1003179664 | Morton Comprehensive Health Services, Inc. | Clinic/Center | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2012-06-19 |
| 1356609739 | Ntco LLC | Clinic/Center | 2511 E 21st St, Tulsa, OK 74114-1705 | 2012-04-24 |
| 1902111602 | Ou Health Access Network | Clinic/Center | 4502 E 41st St, Tulsa, OK 74135-9923 | 2010-08-18 |
| 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.