DR. KELLY J GRIFFITH (NPI# 1003856741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003856741 |
| Entity Type | Individual |
| Full Name | DR. KELLY J GRIFFITH |
| Credential | PH.D. |
| Practice Address |
1024 W Lakeridge Ave Stillwater OK 74075-2106 |
| Practice Telephone | 4056128292 |
| Mailing Telephone | 4056128292 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
792 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629604996 | Kelly Griffith | Specialist/Technologist | 800 University Dr, Maryville, MO 64468-6015 | 2020-03-19 |
| 1699208496 | Kelly Griffith | Student in an Organized Health Care Education/Training Program | 3700 S Main St, Blacksburg, VA 24060-7017 | 2017-04-07 |
| 1932515244 | Kelly Irene Griffith | Registered Nurse | 8185 Corporate Way, Mason, OH 45040-6809 | 2014-07-08 |
| 1831235407 | Kelly Griffith | Counselor | 5776 Saint Augustine Rd, Jacksonville, FL 32207-8030 | 2007-01-30 |
| 1417000761 | Kelly B Griffith | Physical Therapist | 7 Oak Branch Dr, Suite E, Greensboro, NC 27407 | 2007-01-19 |
| Street Address |
1024 W LAKERIDGE AVE |
| City | STILLWATER |
| State | OK |
| Zip Code | 74075-2106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205495421 | Caitlyn A Lewis | Peer Specialist | 1624 Cimaron Plaza, Stillwater, OK 74075 | 2019-06-11 |
| 1861915316 | Chelsea Keel | Counselor | 3800 N Washington St, Stillwater, OK 74075 | 2017-07-17 |
| 1740475375 | Paula Dawn Evans | Marriage & Family Therapist | 110 E Lakeview Drive, Stillwater, OK 74075 | 2007-09-06 |
| 1194942102 | Trey Ratzlaff | Physical Therapy Assistant | 1810 N Perkins Road, Stillwater, OK 74075 | 2007-04-19 |
| 1629197678 | Melissa Sue Cox | Dietitian, Registered | 4700 West Mcelroy, Stillwater, OK 74075 | 2007-03-29 |
| 1033210851 | Robert Anton Crotty | Podiatrist | 120 N Perkins Rd, Ste A, Stillwater, OK 74075 | 2006-09-26 |
| 1235242074 | Ross Hospice of Ponca City, LLC | Hospice Care, Community Based | 1020 N Boomer Rd Ste 1, Stillwater, OK 74075 | 2006-08-16 |
| 1033156559 | Hac Inc | Pharmacy | 421 N. Main, Stillwater, OK 74075 | 2006-06-01 |
| 1912404583 | Hunter Elizabeth Schlosser | Case Manager/Care Coordinator | 421 E Thomas Ave, Stillwater, OK 74075 | 2018-04-10 |
| 1295246213 | Melissa Kay Wilson-watts | Case Manager/Care Coordinator | 421 E Thomas Ave, Stillwater, OK 74075 | 2017-10-17 |
| Find all providers in zip 74075 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497111082 | Suzanne Huffman | Psychologist | 601 Vista Ln Trlr 88, Edmond, OK 73034-6329 | 2016-01-12 |
| 1790157394 | Jennifer Lucas Brusich | Psychologist | 5212 E 69th Pl, Tulsa, OK 74136-3407 | 2015-10-22 |
| 1144611336 | Kelly Davis | Psychologist | 9525 S 93rd East Ave, Tulsa, OK 74133-6160 | 2015-02-10 |
| 1558797589 | Blanca A Correa | Psychologist | 344139 E 740 Rd, Agra, OK 74824-8434 | 2013-09-23 |
| 1932546520 | Christina Dawn Willey | Psychologist | 8221 N 117th East Ave, Owasso, OK 74055-2603 | 2013-05-23 |
| 1841423845 | Anne Katherine Jacobs | Psychologist | 515 S Santa Fe Ave, Suite 106, Edmond, OK 73003-6210 | 2009-08-25 |
| 1306016118 | Diane Janice Willis | Psychologist | 4520 Ridgeline Dr, Norman, OK 73072-1729 | 2008-03-07 |
| 1821199217 | Marguerita Lynn Cagle | Psychologist | 10901 E 76th St N, Owasso, OK 74055-3631 | 2006-09-26 |
| 1063056737 | Daniel Lawrence Gering | Psychologist | 1212 S Air Depot Blvd Ste 17, Midwest City, OK 73110-4860 | 2019-11-05 |
| 1639645708 | Elena M. Doskey | Psychologist | 1100 Ne 13th St, Oklahoma City, OK 73117-1039 | 2018-10-16 |
| Find all providers with the same taxonomy | ||||
| City | STILLWATER |
| Zip Code | 74075 |
Please comment or provide details below to improve the information on DR. KELLY J GRIFFITH.
| 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.