WENDY BERANEK (NPI# 1154507259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154507259 |
Entity Type | Individual |
Full Name | WENDY BERANEK |
Practice Address |
103 N 3rd Ave Durant OK 74701-4700 |
Mailing Address |
Po Box 1030 Antlers OK 74523-1030 |
Practice Telephone | 5807459276 |
Mailing Telephone | 5802982830 |
Enumeration Date | 2008-01-18 |
Last Update Date | 2012-06-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers | ||
N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
Street Address |
103 N 3RD AVE |
City | DURANT |
State | OK |
Zip Code | 74701-4700 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518021286 | Sequelcare of Oklahoma, LLC | Clinic/Center | 103 N 3rd Ave, Durant, OK 74701-4700 | 2006-12-20 |
1306248513 | Terrance Dunn | Social Worker | 103 N 3rd Ave, Durant, OK 74701-4700 | 2014-09-18 |
1538561741 | Jaleesa Dunn | Social Worker | 103 N 3rd Ave, Durant, OK 74701-4700 | 2014-09-18 |
1538413596 | Kim Denise Burns | Counselor | 103 N 3rd Ave, Durant, OK 74701-4700 | 2012-10-30 |
1801058680 | Sequelcare of Oklahoma, LLC | Community/Behavioral Health | 103 N 3rd Ave, Durant, OK 74701-4700 | 2008-07-02 |
1376724609 | Eric House | Counselor | 103 N 3rd Ave, Durant, OK 74701-4700 | 2007-11-15 |
1316144363 | Becky Bell | Counselor | 103 N 3rd Ave, Durant, OK 74701-4700 | 2007-07-02 |
1710199575 | Vicki Littleton | Counselor | 103 N 3rd Ave, Durant, OK 74701-4700 | 2007-05-04 |
1194889261 | Sequelcare of Oklahoma, LLC | Case Management | 103 N 3rd Ave, Durant, OK 74701-4700 | 2006-12-21 |
1104980275 | Sequelcare of Oklahoma, LLC | Case Management | 103 N 3rd Ave, Durant, OK 74701-4700 | 2006-12-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134738362 | Elevate Therapy, Pllc | Physical Therapist | 523 N Wshington Ave, Durant, OK 74701 | 2020-07-23 |
1093334906 | Duncan Kovash | Nurse Practitioner | 1901 Chukka Hina, Durant, OK 74701 | 2020-04-10 |
1184193690 | Inventive Therapy Services, LLC | Occupational Therapist | 2620 Maxey Dr, Durant, OK 74701 | 2018-11-14 |
1790271831 | Jazmine Gabrielle Benavidez | Specialist/Technologist | 1713 North 1st Avenue, Durant, OK 74701 | 2018-07-02 |
1538659586 | Katelen Sue Morgan | Case Manager/Care Coordinator | 1011 Donna Sue Pl, Durant, OK 74701 | 2018-05-15 |
1164941035 | Nsight for Life LLC | Community/Behavioral Health | 1313 N 16th, Durant, OK 74701 | 2017-09-12 |
1023534666 | Damon Dye | Physical Therapist | 30 W 3rd St, Durant, OK 74701 | 2017-08-15 |
1437605250 | Casey Worsham | Nurse Practitioner | 1800 W University, Durant, OK 74701 | 2016-08-31 |
1083160857 | Denise Adanho | Case Manager/Care Coordinator | 1218 Stonebrook Circle, Durant, OK 74701 | 2016-08-31 |
1962850271 | Justi Thompson | Case Manager/Care Coordinator | 4817 Ciara St, Durant, OK 74701 | 2016-05-26 |
Find all providers in zip 74701 |
Taxonomy Code | 103TR0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Rehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982006789 | Jeffrey Johns | Psychologist | 8763 N 97th East Ave Apt 207, Owasso, OK 74055-6864 | 2014-09-23 |
1659771996 | Jessica Pendergraft | Psychologist | 615 Amy Dr, Waukomis, OK 73773-1033 | 2014-08-22 |
1205249349 | Qiana Hawthorne | Psychologist | 104 Winter Wheat Dr, Guthrie, OK 73044-7750 | 2014-06-06 |
1962815902 | Robbin Vanwinkle | Psychologist | 1200 Prairie Heights Dr, Bartlesville, OK 74006-7800 | 2014-06-06 |
1275946683 | Silvia De Loera | Psychologist | 1416 Nw 126th St, Oklahoma City, OK 73120-5100 | 2014-06-04 |
1306256847 | Jonelle Freeman | Psychologist | 336 E Beech Ave, Enid, OK 73701-1702 | 2014-05-06 |
1114337664 | Katelyn James | Psychologist | 2020 Willow Run Ste 100, Enid, OK 73703-1421 | 2014-05-06 |
1043638760 | Jana Darnall | Psychologist | 405 N Neshoba St, Tishomingo, OK 73460-1247 | 2014-03-31 |
1114344223 | Jordan Harvey | Psychologist | 174 Daniels St, Healdton, OK 73438-1417 | 2014-03-26 |
1528489937 | Malerie Guilbeau | Psychologist | 1009 N Birch Ave, Sand Springs, OK 74063-8901 | 2014-01-02 |
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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.