BEHAVIORAL HEALTH AFFILIATES OF TULSA (NPI# 1720328545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720328545 |
| Entity Type | Organization |
| Organization Name | BEHAVIORAL HEALTH AFFILIATES OF TULSA |
| Practice Address |
7146 S Braden Ave Suite 500 Tulsa OK 74136-6371 |
| Practice Telephone | 9184886165 |
| Mailing Telephone | 9184886165 |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2013-02-15 |
| Authorized Official Name | DR. JANET WILLIS (PRESIDENT) |
| Authorized Official Telephone | 9184886165 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
1600 | OK | Behavioral Health & Social Service Providers |
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
566 | OK | Behavioral Health & Social Service Providers |
| Street Address |
7146 S BRADEN AVE SUITE 500 |
| City | TULSA |
| State | OK |
| Zip Code | 74136-6371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164462388 | Michael Allan Friedman | Psychologist | 7146 S Braden Ave, Ste. 500, Tulsa, OK 74136-6371 | 2006-06-07 |
| 1326220815 | Janet Willis Phd PC Inc | Psychologist | 7146 S Braden Ave, Suite 500, Tulsa, OK 74136-6371 | 2007-11-27 |
| 1912043860 | Faust Bianco Jr. | Clinical Neuropsychologist | 7146 S Braden Ave, Ste. 500, Tulsa, OK 74136-6371 | 2007-01-29 |
| 1225104185 | Linda Marian King | Speech-Language Pathologist | 7146 S Braden Ave, # 500, Tulsa, OK 74136-6371 | 2006-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520883 | Esmeralda Rosales | Behavior Technician | 7306 S. Yale Ave, Tulsa, OK 74136 | 2020-05-26 |
| 1851939631 | Kenneth Aaron Pohl | Behavior Technician | 7107 S. Braden Ave. Suite 195, Tulsa, OK 74136 | 2019-12-12 |
| 1578109195 | Brett Ray Weaver | Chiropractor | Kelly Bldg Ste 106, 6565 S Yale Ave, Tulsa, OK 74136 | 2019-11-19 |
| 1477194488 | Adhd and Mood Center of Oklahoma | Clinic/Center | 6565 South Yale Ave, Suite 706, Tulsa, OK 74136 | 2019-10-01 |
| 1093272510 | Whitney Christine Pilkenton | Registered Nurse | 6161 S. Yale Ave., Tulsa, OK 74136 | 2019-02-21 |
| 1538639190 | Osu Center for Health Sciences | Clinic/Center | 6465 S. Yale Ave. Suite 514, Tulsa, OK 74136 | 2018-11-27 |
| 1043786304 | Saint Francis Hospital, Inc. | Hospice Care, Community Based | 6600 South Yale Ave Suite 350, Tulsa, OK 74136 | 2018-10-15 |
| 1891282877 | Premier Rheumatology of Oklahoma | Internal Medicine | 6114 E. 61st Street, Tulsa, OK 74136 | 2018-04-16 |
| 1679092175 | Grace Eloise Evans | Counselor | 6655 S. Yale Ave, Tulsa, OK 74136 | 2017-09-15 |
| 1598283756 | David Oladipo Abioye | Counselor | 7110 S Utica Avenue, Suite 613, Tulsa, OK 74136 | 2017-09-07 |
| Find all providers in zip 74136 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629569264 | Tulsa Professional Psychology, Pllc | Psychologist | 3144 S Winston Ave Ste A, Tulsa, OK 74135-2012 | 2018-05-18 |
| 1689122657 | Brian Goetsch | Psychologist | 2448 E 81st St Ste 2000, Tulsa, OK 74137 | 2016-09-19 |
| 1861813115 | Karen Lake | Psychologist | 3010 S Harvard Ave, Suite 110, Tulsa, OK 74114-6124 | 2014-01-03 |
| 1124355805 | Paula Hildestad | Psychologist | 7010 S Yale Ave Ste 215, Tulsa, OK 74136-5743 | 2009-11-17 |
| 1770723199 | Beatrice Elizabeth Gorgas | Psychologist | 1819 E 19th St, Tulsa, OK 74104-5407 | 2009-02-25 |
| 1144280751 | Susan K Redwood | Psychologist | 2345 Southwest Blvd, Tulsa, OK 74107-2705 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457827016 | Grundy Psychological Services, P.C. | Psychologist | 205 Ketchum Avenue, Ketchum, OK 74349 | 2018-10-22 |
| 1891212551 | Mary Elizabeth Mohon | Psychologist | Oklahoma Vamc 921 Ne 13th Street, 11g, Oklahoma City, OK 73104 | 2017-08-24 |
| 1255855110 | Christopher Thomas Copeland | Psychologist | 920 Stanton L Young Blvd # Wp3445, Oklahoma City, OK 73104-5036 | 2017-08-01 |
| 1588063085 | La'queion Ballard | Psychologist | 2221 Ne 24th St, Oklahoma City, OK 73111-3421 | 2014-08-20 |
| 1346660412 | Mental Wellness Services, LLC | Psychologist | 3605 Nw 175th St, Edmond, OK 73012-6901 | 2014-04-16 |
| 1285915710 | Gloria P Okelley | Psychologist | 4400 Hemingway Dr., # 221, Oklahoma City, OK 73118 | 2011-08-29 |
| 1023214392 | Robert J. Powitzky | Psychologist | 4710 Hemlock Cir, Oklahoma City, OK 73162-1938 | 2007-06-25 |
| 1407070790 | Ralph Edmond Lindsey | Psychologist | 115 E 4th Ave, Stillwater, OK 74074-3527 | 2007-04-11 |
| 1497877765 | Omar Wr Muhammad | Psychologist | 3312 E Maxwell Dr, Oklahoma City, OK 73121-2246 | 2007-04-05 |
| 1386787661 | Lisa Myers Black | Psychologist | 4003 24th Ave Ne, Norman, OK 73071-7749 | 2007-02-15 |
| Find all providers with the same taxonomy | ||||
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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.