PEDIATRIC NEUROPSYCHOLOGY ASSOCIATES PLLC (NPI# 1760744718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760744718 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC NEUROPSYCHOLOGY ASSOCIATES PLLC |
| Practice Address |
3330 Nw 56th St Suite 305 Oklahoma City OK 73112-4479 |
| Practice Telephone | 4057137065 |
| Practice Fax Number | 4057137064 |
| Mailing Telephone | 4057137065 |
| Mailing Fax Number | 4057137064 |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2012-06-14 |
| Authorized Official Name | DR. LORI HOLMQUIST-DAY (PEDIATRIC NEUROPSYCHOLOGIST) |
| Authorized Official Telephone | 4057137065 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 944 | OK | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200013880B | 05 |
| Street Address |
3330 NW 56TH ST SUITE 305 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-4479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881697761 | Georgianne M Snowden | Radiology | 3330 Nw 56th St, Ste 206, Oklahoma City, OK 73112-4426 | 2005-05-24 |
| 1013444298 | Essential Integrative Health Pllc | Phlebology | 3330 Nw 56th St, Suite 612, Oklahoma City, OK 73112-4479 | 2017-05-18 |
| 1093165227 | Kourtney Peterson | Registered Nurse | 3330 Nw 56th St, Suite 208, Oklahoma City, OK 73112-4479 | 2016-06-19 |
| 1548615081 | Tricia Strahorn | Dietitian, Registered | 3330 Nw 56th St, Suite 106, Oklahoma City, OK 73112-4479 | 2016-05-03 |
| 1972963353 | Frontier Health Services, LLC | Internal Medicine | 3330 Nw 56th St, Oklahoma City, OK 73112-4479 | 2016-02-29 |
| 1114394251 | Shamika Mack | Nurse Practitioner | 3330 Nw 56th St, Suite 300, Oklahoma City, OK 73112-4479 | 2015-08-24 |
| 1114300316 | Matthew Munda | Nurse Practitioner | 3330 Nw 56th St, Suite 612, Oklahoma City, OK 73112-4479 | 2015-07-07 |
| 1689070047 | Dr. Scott L. Shields, P.C. | Podiatrist | 3330 Nw 56th St, Suite 600, Oklahoma City, OK 73112-4479 | 2014-11-13 |
| 1649672031 | Ashton Nicole Miller | Registered Nurse | 3330 Nw 56th St, Suite 300, Oklahoma City, OK 73112-4479 | 2014-09-17 |
| 1053712737 | David G. Wade Dpm Pllc | Podiatrist | 3330 Nw 56th St, #600, Oklahoma City, OK 73112-4479 | 2014-09-12 |
| 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 | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376140129 | Megan Marie Mcarthur | Clinical Neuropsychologist | 920 Stanton L Young Blvd # Wp3152, Oklahoma City, OK 73104-5036 | 2020-10-05 |
| 1114438785 | Mind The Gap Neuropsychology Services Pllc | Clinical Neuropsychologist | 10621 Haskell Ln, Oklahoma City, OK 73162-8212 | 2017-10-23 |
| 1770009052 | Christopher Minh Nguyen | Clinical Neuropsychologist | 601 Robert S Kerr Ave Apt 108, Oklahoma City, OK 73102 | 2017-08-17 |
| 1295250207 | Lifechange Psychological Services, LLC | Clinical Neuropsychologist | 4117 Nw 122nd St Ste A1, Oklahoma City, OK 73120-8819 | 2017-08-10 |
| 1568990281 | Natalie Anne Emmert | Clinical Neuropsychologist | 920 Sl Young Blvd # Wp3440, Oklahoma City, OK 73104-5036 | 2017-05-25 |
| 1386899342 | Gina D Bien | Clinical Neuropsychologist | 921 N.e. 13th St, Oklahoma City Va Medical Center, Oklahoma City, OK 73104 | 2008-11-18 |
| 1083878748 | John F Linck Jr. | Clinical Neuropsychologist | 920 Stanton L Young Blvd # Wp3428, Oklahoma City, OK 73104-5036 | 2008-07-11 |
| 1225140346 | Mickey Ozolins | Clinical Neuropsychologist | 4120 W Memorial Rd Ste 202, Oklahoma City, OK 73120-9322 | 2006-08-31 |
| 1003439308 | Taylor Rose Greif | Clinical Neuropsychologist | 920 Stanton L Young Blvd, Oklahoma City, OK 73104-5036 | 2020-05-20 |
| 1255857546 | Lily Lau | Clinical Neuropsychologist | 920 Stanton L Young Blvd, Oklahoma City, OK 73104-5036 | 2017-08-17 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
Please comment or provide details below to improve the information on PEDIATRIC NEUROPSYCHOLOGY ASSOCIATES PLLC.
| 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.