MS. PHYLLIS J. MATTEK (NPI# 1881615151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881615151 |
| Entity Type | Individual |
| Full Name | MS. PHYLLIS J. MATTEK |
| Credential | LCSW LADC |
| Practice Address |
110 N Mercedes Dr Ste 400 Norman OK 73069-6468 |
| Practice Telephone | 4053291615 |
| Practice Fax Number | 4058720761 |
| Mailing Telephone | 4053291615 |
| Mailing Fax Number | 4058720761 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
#50 | OK | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
#1515 | OK | Behavioral Health & Social Service Providers |
| Street Address |
110 N MERCEDES DR STE 400 |
| City | NORMAN |
| State | OK |
| Zip Code | 73069-6468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184754269 | Margaret Mckay Durham | Counselor | 110 N Mercedes Dr Ste 400, Norman, OK 73069-6468 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739764 | Pinnacle Family Health Care | Family Medicine | 2781 Washington Drive, Suite 101, Norman, OK 73069 | 2020-10-26 |
| 1063030088 | Kristal Ladawn Vasquez | Nurse Practitioner | 4019 North Flood Ave, Normam, OK 73069 | 2020-07-07 |
| 1841828290 | Cheryl Renee Stoepker | Nurse Practitioner | 3441 24th Ave Nw, Norman, OK 73069 | 2020-03-31 |
| 1427689215 | Bodyworx Primary Care, LLC | Nurse Practitioner | 4019 N Flood Ave, Norman, OK 73069 | 2020-01-30 |
| 1528539376 | Monika Potdar | Pharmacist | 2550 Mount Williams Dr, Norman, OK 73069 | 2018-12-05 |
| 1861962193 | Bethany Spring Browne | Physician Assistant | 209 Hal Muldrow Dr, Apt 7, Norman, OK 73069 | 2018-11-29 |
| 1528536109 | Summit Health and Wellness Center LLC | Counselor | 2770 Washington Dr, Suite 100, Norman, OK 73069 | 2018-11-13 |
| 1386121960 | Sarah Lawhead | Case Manager/Care Coordinator | 525 Dakota St, Norman, OK 73069 | 2018-07-25 |
| 1528554433 | Katie Blankenship | Occupational Therapist | 330 W Grey Street 100-2, Norman, OK 73069 | 2018-07-03 |
| 1568918886 | Brandi Deerinwater | Case Manager/Care Coordinator | 321 S Peters, Norman, OK 73069 | 2016-08-28 |
| Find all providers in zip 73069 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437644010 | Marissa Foster | Counselor | 4302 Harvard Rd, Norman, OK 73072-4428 | 2018-06-26 |
| 1417461179 | Stephanie Ryan Knight | Counselor | 1327 12th Ave Ne, Norman, OK 73071-6124 | 2017-11-16 |
| 1912315391 | Shannon Jenonne Ladd | Counselor | 507 Meadow Park Dr, Norman, OK 73069-5326 | 2014-07-29 |
| 1629414883 | Michael Andrew Masten | Counselor | 508 Jean Marie Dr, Norman, OK 73069-5130 | 2013-05-15 |
| 1124307798 | Kimberly Brantley | Counselor | 1311 Fay Ave, Norman, OK 73069-7735 | 2011-08-12 |
| 1730472259 | Lillian Danielle Miller | Counselor | 1520 E Lindsey St Apt F, Norman, OK 73071-2248 | 2011-05-17 |
| 1831481522 | Angela Brew | Counselor | 901 Alameda Street, Norman, OK 73071 | 2011-05-12 |
| 1982995049 | Jonny Ray Brandon | Counselor | 304 Dollina Dr, Norman, OK 73069-7570 | 2011-04-25 |
| 1225342132 | Nilufer Safiya Aziz | Counselor | 3700 Hidden Hill Rd, Norman, OK 73072-3031 | 2010-08-03 |
| 1861703795 | Jeffrey Charles Beed | Counselor | 229 Crest Place, Norman, OK 73071-3068 | 2010-06-25 |
| Find all providers in NORMAN | ||||
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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.