MODERN MINDCARE PLLC (NPI# 1013473560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013473560 |
| Entity Type | Organization |
| Organization Name | MODERN MINDCARE PLLC |
| Practice Address |
1985 W 33rd St Edmond OK 73013-3875 |
| Practice Telephone | 4056332496 |
| Practice Fax Number | 2249354482 |
| Mailing Telephone | 4056332496 |
| Mailing Fax Number | 2249354482 |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-02-20 |
| Authorized Official Name | DR. SHYVONNE GRAY (OWNER) |
| Authorized Official Telephone | 4056332496 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | MODERN MINDCARE PLLC | 16104 Korie Dr, Edmond, OK 73013 |
| Street Address |
1985 W 33RD ST |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-3875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689702540 | Gricelda Fragoso | Psychologist | 1985 W 33rd St, Suite 110, Edmond, OK 73013-3875 | 2007-03-01 |
| 1851903686 | Ferguson Therapy Pllc | Marriage & Family Therapist | 1985 W 33rd St, Edmond, OK 73013-3875 | 2020-08-22 |
| 1023641263 | Campbell Comprehensive Psychological Services, LLC | Clinic/Center | 1985 W 33rd St, Edmond, OK 73013-3875 | 2020-02-17 |
| 1487216917 | Charles T Dutton Jr. | Marriage & Family Therapist | 1985 W 33rd St, Edmond, OK 73013-3875 | 2019-07-04 |
| 1457915175 | Christopher Campbell | Psychologist | 1985 W 33rd St, Edmond, OK 73013-3875 | 2019-04-29 |
| 1790267763 | Beatriz Castilho Stanley | Marriage & Family Therapist | 1985 W 33rd St, Edmond, OK 73013-3875 | 2018-09-05 |
| 1639677651 | Daniel Steven Keimig | Counselor | 1985 W 33rd St, Edmond, OK 73013-3875 | 2018-01-24 |
| 1568973584 | Stephen Brand | Counselor | 1985 W 33rd St, Edmond, OK 73013-3875 | 2017-10-17 |
| 1346759172 | Jessica Ann Stoops | Counselor | 1985 W 33rd St, Edmond, OK 73013 | 2017-09-25 |
| 1710425327 | Jaclyn I Rowland, Pllc | Marriage & Family Therapist | 1985 W 33rd St, Edmond, OK 73013-3875 | 2017-02-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053762807 | Daniel Pappas | Psychiatry & Neurology | 15225 Fairview Farm Rd., Edmond, OK 73013 | 2016-06-23 |
| 1770982118 | Margo Shultes Md PC | Psychiatry & Neurology | 4201 Steven Dr, Edmond, OK 73013-8138 | 2014-08-21 |
| 1639406275 | Transcranial Institute of Oklahoma | Psychiatry & Neurology | 3444 S Boulevard St, Edmond, OK 73013-5482 | 2009-11-03 |
| 1467615765 | Ahmed Refat Abdelaziz | Psychiatry & Neurology | 1218 E 9th St Ste 1, Edmond, OK 73034-5796 | 2008-07-07 |
| 1750578332 | Jedidiah J Perdue | Psychiatry & Neurology | 4833 Integris Pkwy Ste 325, Edmond, OK 73034-8864 | 2007-09-27 |
| 1609903756 | Dr Surinda K Randhawa Inc | Psychiatry & Neurology | 13925 Middleberry Rd, Edmond, OK 73013-7039 | 2007-02-27 |
| 1003955204 | Jonathan A Doyle | Psychiatry & Neurology | 3444 S Boulevard, Edmond, OK 73013-5482 | 2007-02-05 |
| 1780723916 | Shawn Khavari | Psychiatry & Neurology | 16212 Sonoma Park Drive, Edmond, OK 73013-2117 | 2007-02-05 |
| 1962566257 | Narayana M Pai | Psychiatry & Neurology | 105 S Bryant Ave Ste 400, Edmond, OK 73034-6331 | 2006-12-20 |
| 1306930029 | Fei-ling Yeh II | Psychiatry & Neurology | 1616 S State St, Edmond, OK 73013-3600 | 2006-10-03 |
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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.