TERRY GLEN SHAW (NPI# 1063423994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063423994 |
| Entity Type | Individual |
| Full Name | TERRY GLEN SHAW |
| Credential | PHD |
| Practice Address |
7146 S Braden Suite 500 Tulsa OK 74136 |
| Mailing Address |
Po Box 3010 Mcalester OK 74502-3010 |
| Practice Telephone | 9184886165 |
| Practice Fax Number | 9184888021 |
| Mailing Telephone | 9184266780 |
| Mailing Fax Number | 9184888021 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2013-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 373 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023000155 | Terry W Shaw | Chiropractor | 3701 E Lake Ctr, Suite 1, Quincy, IL 62305-5842 | 2005-08-16 |
| Street Address |
7146 S BRADEN SUITE 500 |
| City | TULSA |
| State | OK |
| Zip Code | 74136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520883 | Esmeralda Rosales | Behavior Technician | 7306 S. Yale Ave, Tulsa, OK 74136 | 2020-05-26 |
| 1851939631 | Kenneth Aaron Pohl | Behavior Technician | 7107 S. Braden Ave. Suite 195, Tulsa, OK 74136 | 2019-12-12 |
| 1578109195 | Brett Ray Weaver | Chiropractor | Kelly Bldg Ste 106, 6565 S Yale Ave, Tulsa, OK 74136 | 2019-11-19 |
| 1477194488 | Adhd and Mood Center of Oklahoma | Clinic/Center | 6565 South Yale Ave, Suite 706, Tulsa, OK 74136 | 2019-10-01 |
| 1093272510 | Whitney Christine Pilkenton | Registered Nurse | 6161 S. Yale Ave., Tulsa, OK 74136 | 2019-02-21 |
| 1538639190 | Osu Center for Health Sciences | Clinic/Center | 6465 S. Yale Ave. Suite 514, Tulsa, OK 74136 | 2018-11-27 |
| 1043786304 | Saint Francis Hospital, Inc. | Hospice Care, Community Based | 6600 South Yale Ave Suite 350, Tulsa, OK 74136 | 2018-10-15 |
| 1891282877 | Premier Rheumatology of Oklahoma | Internal Medicine | 6114 E. 61st Street, Tulsa, OK 74136 | 2018-04-16 |
| 1679092175 | Grace Eloise Evans | Counselor | 6655 S. Yale Ave, Tulsa, OK 74136 | 2017-09-15 |
| 1598283756 | David Oladipo Abioye | Counselor | 7110 S Utica Avenue, Suite 613, Tulsa, OK 74136 | 2017-09-07 |
| Find all providers in zip 74136 | ||||
| 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 |
|---|---|---|---|---|
| 1154837185 | David E Hansen, Ph.d, PC | Clinical Neuropsychologist | 5512 S Lewis Ave Ste 8, Tulsa, OK 74105-7140 | 2017-12-28 |
| 1700177391 | Russell D Pella | Clinical Neuropsychologist | 5213 S Vandalia Ave, Apt. 4g, Tulsa, OK 74135-4038 | 2011-04-29 |
| 1861726663 | Mary Elizabeth Cardoni | Clinical Neuropsychologist | 5110 South Yale Avenue, Suite 103, Tulsa, OK 74135 | 2009-09-25 |
| 1407905284 | Edison Dale Jeffus Jr. | Clinical Neuropsychologist | 3220 S Peoria Ave, Suite 2, Tulsa, OK 74105-2003 | 2007-01-09 |
| 1427062082 | Joseph P Fritsch | Clinical Neuropsychologist | 1717b S Utica Ave, Suite 200, Tulsa, OK 74104-5333 | 2006-07-28 |
| 1457391260 | Roscoe Gordon Burrows II | Clinical Neuropsychologist | 3219 S 79th East Ave, Tulsa, OK 74145-1343 | 2006-06-08 |
| 1457711251 | Neurometrics, Pllc | Clinical Neuropsychologist | 7146 S Braden Ave Ste 500, Tulsa, OK 74136-6376 | 2016-03-07 |
| 1134534787 | Able Kids Therapy | Clinical Neuropsychologist | 5970 E 31st St Ste F, Tulsa, OK 74135-5112 | 2014-06-23 |
| 1699192856 | Clinical & Neuropsychological Services | Clinical Neuropsychologist | 5512 S Lewis Ave, Suite 8, Tulsa, OK 74105-7140 | 2014-03-26 |
| 1295091411 | Brian A. Boatwright, Psy.d., P.l.l.c. | Clinical Neuropsychologist | 5272 S Lewis Ave Ste 250, Tulsa, OK 74105-6564 | 2012-04-02 |
| Find all providers in TULSA | ||||
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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.