DR. REBECCA M WALLACE (NPI# 1114472735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114472735 |
| Entity Type | Individual |
| Full Name | DR. REBECCA M WALLACE |
| Other Name | DR. BECCA M WALLACE |
| Credential | PSY.D. |
| Practice Address |
1200 Childrens Ave Ste 12400 Oklahoma City OK 73104-4637 |
| Practice Telephone | 4052714407 |
| Mailing Telephone | 4052714407 |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2017-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1272 | OK | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
1508APPL | AR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285980250 | Rebecca Wallace | Licensed Practical Nurse | 12 Demarest Rd, Chestnut Ridge, NY 10977-6517 | 2012-07-27 |
| 1295907079 | Rebecca C Wallace | Acupuncturist | The Well for Integrative Medicine, 114 Main Street, Gloucester, MA 01930 | 2008-04-01 |
| 1902941230 | Rebecca H. Wallace | Registered Nurse | 300 W Mcmurray Blvd, Casa Grande, AZ 85222-3327 | 2007-02-21 |
| 1619050630 | Rebecca Wallace | Occupational Therapist | 1025 Brevard Rd Ste 10, Asheville, NC 28806-8563 | 2006-10-23 |
| 1417564477 | Rebecca Wallace | Counselor | 207 Peach Way, Columbia, MO 65203-4905 | 2020-09-24 |
| 1033765896 | Rebecca Kay Wallace | Counselor | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2019-08-16 |
| 1649745027 | Rebecca Wallace | Behavior Technician | 17595 Almahurst St Ste 100a, City of Industry, CA 91748-1792 | 2018-10-11 |
| 1215243043 | Rebecca Ann Wallace | Social Worker | 4950 Memorial Dr, Houston, TX 77007-7440 | 2010-08-31 |
| 1710156765 | Rebecca Hagood Wallace | Physical Therapist | 405 S Seminole Ave, Minneola, FL 34715-5520 | 2008-02-25 |
| 1912031311 | Rebecca B Wallace | Marriage & Family Therapist | 801 E Chapman Ave, Fullerton, CA 92831-3839 | 2007-03-15 |
| Street Address |
1200 CHILDRENS AVE STE 12400 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73104-4637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477546679 | Harold M Burkhart | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1200 Childrens Ave, Ste 2e, Oklahoma City, OK 73104-4637 | 2005-08-24 |
| 1841814241 | Trista Anne Vancuren | Student in an Organized Health Care Education/Training Program | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2020-06-01 |
| 1568086965 | Kaleb Evan Fuller | Student in an Organized Health Care Education/Training Program | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2020-06-01 |
| 1366065377 | Caroline Blakley | Student in an Organized Health Care Education/Training Program | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2020-05-26 |
| 1356964514 | Rebecca Mary Varkey | Student in an Organized Health Care Education/Training Program | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2020-05-22 |
| 1821611419 | Nicholas Reede Hoffsommer | Student in an Organized Health Care Education/Training Program | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2020-05-19 |
| 1699398172 | Daniel Joseph Moore | Student in an Organized Health Care Education/Training Program | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2020-05-19 |
| 1982227419 | Huan Pham | Student in an Organized Health Care Education/Training Program | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2020-05-19 |
| 1053934570 | Raj Patel | Student in an Organized Health Care Education/Training Program | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2020-05-19 |
| 1750903449 | Naseem Alammar | Student in an Organized Health Care Education/Training Program | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2020-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356979645 | Kayla Campbell | Dietitian, Registered | Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 | 2020-03-31 |
| 1447715453 | Roman Michael Garcia | Dentist | Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 | 2019-02-04 |
| 1265902340 | Jenna Lyn Celii | Registered Nurse | 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 | 2018-11-30 |
| 1407337462 | Opus Medical, LLC | Psychiatry & Neurology | 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 | 2018-08-27 |
| 1316433295 | Syed Muhammad Shakaib Quadri | Pathology | 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 | 2018-07-03 |
| 1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
| 1417440793 | Helen Judith Turkson Apetor | Nurse Practitioner | 700 Ne 13th, Oklahoma City, OK 73104 | 2018-06-11 |
| 1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
| 1558851220 | Bryce Yohannan | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 | 2018-05-17 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| Find all providers in zip 73104 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740898295 | Jessica Marie Martin | Psychologist | 8804 Nw 127th St, Oklahoma City, OK 73142-8623 | 2020-07-21 |
| 1609415983 | Nicole Marie Kramer | Psychologist | 921 Ne 13th St # 116c, Oklahoma City, OK 73104-5007 | 2020-01-03 |
| 1407368038 | Deborah Dorton | Psychologist | Okc Va Hcs (111a), 921 Ne 13th St, Oklahoma City, OK 73159 | 2017-11-06 |
| 1285092437 | Christina Almstrom Whelan | Psychologist | 14616 Fossil Creek Lane, Oklahoma City, OK 73134 | 2016-02-03 |
| 1730545153 | Mind Works Consulting and Psychological Services | Psychologist | 11901 N Macarthur Blvd Ste C, Oklahoma City, OK 73162-1806 | 2016-01-14 |
| 1770956781 | Rachel Funk-lawler | Psychologist | 920 Stanton L Young Blvd # Wp3262, Oklahoma City, OK 73104-5036 | 2015-11-12 |
| 1124400635 | Keys for Hope, Pllc | Psychologist | 11212 N May Ave Ste 312, Oklahoma City, OK 73120-6335 | 2015-06-20 |
| 1194064766 | Brighter Day Health LLC | Psychologist | 5929 N May Ave Ste 302, Oklahoma City, OK 73112-3925 | 2013-02-02 |
| 1437494655 | Dr. Yong H. Kim, Psyd, Professional Limited Company | Psychologist | 8101 Nw 10th, Oklahoma City, OK 73127 | 2012-11-28 |
| 1346526027 | Brent Kenney | Psychologist | 1910 N Robinson Ave, Oklahoma City, OK 73103-4411 | 2011-10-26 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73104 |
Please comment or provide details below to improve the information on DR. REBECCA M WALLACE.
| 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.