PROFESSIONAL CORPORATION OF PSYCHIATRY (NPI# 1699704270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699704270 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL CORPORATION OF PSYCHIATRY |
| Practice Address |
5100 N Brookline Ave 900 Oklahoma City OK 73112-3623 |
| Practice Telephone | 4056043170 |
| Practice Fax Number | 4056043163 |
| Mailing Telephone | 4056043170 |
| Mailing Fax Number | 4056043163 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOHN C. ANDRUS (PRESIDENT) |
| Authorized Official Telephone | 4056043170 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| X | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
5100 N BROOKLINE AVE 900 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-3623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336145887 | James Murray Flynn | Podiatrist | 5100 N Brookline Ave, Ste 375, Oklahoma City, OK 73112-3628 | 2005-06-21 |
| 1215563697 | Susan Elise Rada | Behavioral Analyst | 5100 N Brookline Ave, Oklahoma City, OK 73112-3623 | 2020-03-18 |
| 1982964920 | David Michael Croninger | Counselor | 5100 N Brookline Ave, Suite 620, Oklahoma City, OK 73112-3623 | 2012-05-24 |
| 1780963330 | Integris Baptist Medical Center Inc | Psychiatry & Neurology | 5100 N Brookline Ave, Ste 950, Oklahoma City, OK 73112-3623 | 2011-08-15 |
| 1831480508 | Timothy L Barnard | Counselor | 5100 N Brookline Ave, Suite 950, Oklahoma City, OK 73112-3623 | 2011-04-28 |
| 1487967717 | Geetika Mehrishi Verma | Psychiatry & Neurology | 5100 N Brookline Ave, Suite 900, Oklahoma City, OK 73112-3623 | 2010-07-15 |
| 1376785238 | Sleep Solutions Northwest, LLC | Clinic/Center | 5100 N Brookline Ave, Ste. 325, Oklahoma City, OK 73112-3623 | 2009-03-24 |
| 1083874754 | Shawn Smith, M.d., P.C. | Physical Medicine & Rehabilitation | 5100 N Brookline Ave, Suite 500, Oklahoma City, OK 73112-3623 | 2008-06-16 |
| 1114184629 | Stephen L Virtue Dds | Dentist | 5100 N Brookline Ave, #870, Oklahoma City, OK 73112-3623 | 2008-05-21 |
| 1477722809 | Tracy Langford | Psychiatry & Neurology | 5100 N Brookline Ave, Suite 950, Oklahoma City, OK 73112-3623 | 2008-02-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| 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 |
|---|---|---|---|---|
| 1831657592 | Jocelyn Barton Phd Inc | Psychologist | 8241 S Walker Ave Ste 200, Oklahoma City, OK 73139-9401 | 2019-03-12 |
| 1902385859 | Danell Marie Rahni | Psychologist | 17300 Serrano Dr, Oklahoma City, OK 73170 | 2018-08-11 |
| 1588188072 | Kathryn Jeter | Psychologist | 1200 Childrens Ave Ste 12400, Oklahoma City, OK 73104-4637 | 2017-07-27 |
| 1669912598 | Christopher Gibson | Psychologist | 2810 Dorchester Dr, 17, Oklahoma City, OK 73120-4561 | 2017-02-25 |
| 1811240161 | Teresa Davis Baird | Psychologist | 3537 Ne Military Cir, Oklahoma City, OK 73111-4305 | 2012-10-24 |
| 1801031448 | Mary Rose Rolison | Psychologist | 10802 Quail Plaza Dr, #203, Oklahoma City, OK 73120-3116 | 2008-12-11 |
| 1437361847 | Dena Pinson | Psychologist | 5500 N Western Ave Ste 157, Oklahoma City, OK 73118-4018 | 2007-05-06 |
| 1548482169 | Philip C. Hyde, Ph.d., P.C. | Psychologist | 1117 Nw 50th. St., Oklahoma City, OK 73118-4401 | 2007-05-03 |
| 1093935686 | Janet Kates | Psychologist | 5818 Nw 50th, Suite 200, Oklahoma City, OK 73123-3671 | 2007-04-26 |
| 1316003809 | Ryan M Scott | Psychologist | 2433 Nw 30th St, Oklahoma City, OK 73112-7803 | 2006-12-29 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
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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.