DR. JUSTIN HULL ORY (NPI# 1124426671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124426671 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN HULL ORY |
| Credential | PH.D. |
| Practice Address |
1044 Sw 4th St Moore OK 73160-2405 |
| Practice Telephone | 4057356300 |
| Mailing Telephone | 4057356300 |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2020-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 1334 | OK | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | OKLAHOMA HSP LICENSE | 1334 | 01 |
| Street Address |
1044 SW 4TH ST |
| City | MOORE |
| State | OK |
| Zip Code | 73160-2405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922048479 | Dustin Gant Ward | Psychologist | 1044 Sw 4th St, Moore, OK 73160-2405 | 2006-06-06 |
| 1972097228 | Allison Vrieze | Psychologist | 1044 Sw 4th St, Moore, OK 73160-2405 | 2018-06-20 |
| 1114463072 | Dave Sanford Kerby | Psychologist | 1044 Sw 4th St, Moore, OK 73160-2405 | 2017-01-16 |
| 1518319276 | Moore Autism Center, P.C. | Psychologist | 1044 Sw 4th St, Moore, OK 73160-2405 | 2016-07-06 |
| 1144600594 | Lindsey Bardwell | Psychologist | 1044 Sw 4th St, Moore, OK 73160-2405 | 2015-06-01 |
| 1962844894 | Ilse Deyanira Carrizales | Psychologist | 1044 Sw 4th St, Moore, OK 73160-2405 | 2013-07-19 |
| 1487900858 | Mary C Underhill | Psychologist | 1044 Sw 4th St, Moore, OK 73160-2405 | 2012-08-03 |
| 1922377225 | Sarah P Whitewater | Counselor | 1044 Sw 4th St, Moore, OK 73160 | 2011-12-16 |
| 1134452600 | Anna M Homen | Psychologist | 1044 Sw 4th St, Moore, OK 73160-2405 | 2009-09-15 |
| 1083881189 | Miracle Nicole Goetz | Psychologist | 1044 Sw 4th St, Moore, OK 73160-2405 | 2008-05-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678576 | Crystal Amanda Pitts | Student in an Organized Health Care Education/Training Program | 628 Allison Ln, Moore, OK 73160 | 2020-01-14 |
| 1982247623 | Tammie Lee Haworth | Occupational Therapy Assistant | Quest, 400 N Eastern Ave, Moore, OK 73160 | 2019-10-25 |
| 1477102580 | Php Management Group, LLC | Non-Pharmacy Dispensing Site | 1110 Magnolia Court, Moore, OK 73160 | 2019-09-11 |
| 1477117893 | Pharmology Moore LLC | Pharmacy | 1280 N Eastern Ave, Suite F, Moore, OK 73160 | 2019-05-01 |
| 1154891943 | Leah Cordell | Nurse Practitioner | 1280 North Eastern Ave., Suite F, Moore, OK 73160 | 2018-12-05 |
| 1467962332 | Healthcare Express, LLP | Clinic/Center | 551 Se 4th Street, Moore, OK 73160 | 2017-10-05 |
| 1306379557 | Dicarlo Venegas | Behavior Technician | 716 Wood Hollow Ln, Moore, OK 73160 | 2017-04-05 |
| 1073050167 | Tyron Dorrell Cosby Sr. | Case Manager/Care Coordinator | 1416 Penn Ln., Moore, OK 73160 | 2017-01-26 |
| 1326592650 | Kristin Kelley | Counselor | 1113 S Avery Dr, Moore, OK 73160 | 2016-08-03 |
| 1376912600 | Allison Kay Griffiths | Counselor | 9501 S. I-35 Service Rd, Apt 1504, Moore, OK 73160 | 2015-09-16 |
| Find all providers in zip 73160 | ||||
| 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 |
|---|---|---|---|---|
| 1376140129 | Megan Marie Mcarthur | Clinical Neuropsychologist | 920 Stanton L Young Blvd # Wp3152, Oklahoma City, OK 73104-5036 | 2020-10-05 |
| 1154837185 | David E Hansen, Ph.d, PC | Clinical Neuropsychologist | 5512 S Lewis Ave Ste 8, Tulsa, OK 74105-7140 | 2017-12-28 |
| 1114438785 | Mind The Gap Neuropsychology Services Pllc | Clinical Neuropsychologist | 10621 Haskell Ln, Oklahoma City, OK 73162-8212 | 2017-10-23 |
| 1770009052 | Christopher Minh Nguyen | Clinical Neuropsychologist | 601 Robert S Kerr Ave Apt 108, Oklahoma City, OK 73102 | 2017-08-17 |
| 1295250207 | Lifechange Psychological Services, LLC | Clinical Neuropsychologist | 4117 Nw 122nd St Ste A1, Oklahoma City, OK 73120-8819 | 2017-08-10 |
| 1891218202 | Elite Therapy, LLC | Clinical Neuropsychologist | 1505 Renaissance Blvd, Edmond, OK 73013-3018 | 2017-07-18 |
| 1568990281 | Natalie Anne Emmert | Clinical Neuropsychologist | 920 Sl Young Blvd # Wp3440, Oklahoma City, OK 73104-5036 | 2017-05-25 |
| 1518210285 | Millennium Medical Services | Clinical Neuropsychologist | 520 W Rogers Blvd, Skiatook, OK 74070-1061 | 2012-10-18 |
| 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 |
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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.