DR. JACK DOUGLAS MYERS (NPI# 1831287168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831287168 |
| Entity Type | Individual |
| Full Name | DR. JACK DOUGLAS MYERS |
| Credential | PH.D. |
| Practice Address |
207 2nd Ave Sw Miami OK 74354-6818 |
| Mailing Address |
Po Box 844 Miami OK 74355-0844 |
| Practice Telephone | 9185407458 |
| Mailing Telephone | 9185407458 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1025 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295817237 | Jack Edward Myers | Physician Assistant | 800 Oak St, Sheldon, IA 51201-1242 | 2006-10-19 |
| Street Address |
207 2ND AVE SW |
| City | MIAMI |
| State | OK |
| Zip Code | 74354-6818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235227588 | Nova Therapy Works, P.l.l.c. | Psychologist | 207 2nd Ave Sw, Miami, OK 74354-6818 | 2006-10-11 |
| 1285757823 | David Ray Sawyer | Counselor | 207 2nd Ave Sw, Miami, OK 74354-6818 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447786603 | Coal Creek Counseling, LLC | Social Worker | 204 D St Ne, Miami, OK 74354 | 2017-05-10 |
| 1164958567 | Yco Tulsa, Inc | Counselor | 1458 E Steve Owens Blvd, Miami, OK 74354 | 2017-05-04 |
| 1982064226 | Yco Tulsa, Inc | Clinic/Center | 1519 E Steve Owens Blvd, Miami, OK 74354 | 2016-02-29 |
| 1548641285 | Courtney Marie Winfrey | Occupational Therapy Assistant | 310 2nd Ave Sw Fl 3, Miami, OK 74354 | 2015-06-17 |
| 1417338039 | Michelle Dawn Johnson | Case Manager/Care Coordinator | 1519 E. Steve Owens Blvd, Miami, OK 74354 | 2015-06-10 |
| 1790100337 | Jordan Taylor-threet | Speech-Language Pathologist | 2225 N. Main St., Miami, OK 74354 | 2014-02-19 |
| 1700137551 | Miami Healthcare, LLC | Skilled Nursing Facility | 2530 North Elm St., Miami, OK 74354 | 2012-09-19 |
| 1144507534 | Julia Brown | Pharmacist | 11 West Central, Miami, OK 74354 | 2011-11-14 |
| 1841504685 | Dodie A Giles Keith | Counselor | 33 C Street Northeast, Miami, OK 74354 | 2010-08-04 |
| 1013221571 | Katherine Renee Burke | Counselor | 111 S. Treaty Rd., Miami, OK 74354 | 2010-07-27 |
| Find all providers in zip 74354 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125247 | Edgar N. Arbaje | Psychologist | 6561 Sw 32nd St, Miami, FL 33155-3949 | 2019-10-16 |
| 1023573789 | Michelle Marie Rodriguez Diaz | Psychologist | 1120 Nw 14th St Ste 1477a, Miami, FL 33136-2107 | 2019-02-07 |
| 1356818686 | Ivelisse Marie Barreiro Rosado | Psychologist | 540 Brickell Key Dr Apt 1528, Miami, FL 33131-3535 | 2018-10-24 |
| 1407342249 | Bridget Catherine Gamber Davidson | Psychologist | 1601 Nw 12th Ave # 4046, Miami, FL 33136-1005 | 2018-07-05 |
| 1366936619 | Diane Lynn Hoffer | Psychologist | 4750 Sw 82nd St, Miami, FL 33143-8602 | 2018-06-20 |
| 1831681253 | Tali Yuz Berliner | Psychologist | 2225 Ne 204th St, Miami, FL 33180-1311 | 2018-06-01 |
| 1033614441 | Miriam J Rodriguez, LLC | Psychologist | 2730 Sw 3rd Ave Ste 301, Miami, FL 33129-2323 | 2018-03-27 |
| 1629596739 | Urbanpromise Miami | Psychologist | 677 Sw 1st St, Second Floor, Miami, FL 33130 | 2017-09-08 |
| 1144747791 | Katalina Fernandez Mcinerney | Psychologist | 1150 Nw 14th St Ste 604, Miami, FL 33136-2117 | 2017-08-24 |
| 1477093888 | Dr. Mayra Burguera, Psy.d., P.a. | Psychologist | 1110 Brickell Ave Ste 407, Miami, FL 33131 | 2017-03-03 |
| Find all providers in MIAMI | ||||
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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.