DR. MANJU KAUL (NPI# 1205821022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205821022 |
| Entity Type | Individual |
| Full Name | DR. MANJU KAUL |
| Credential | PHD |
| Practice Address |
3015 E Skelly Dr Suite 135 Tulsa OK 74105-6317 |
| Practice Telephone | 9187122885 |
| Practice Fax Number | 9187129019 |
| Mailing Telephone | 9187122885 |
| Mailing Fax Number | 9187129019 |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
857 | OK | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR MEDICARE | 680013158 | 01 | |
| OK | 100838250A | 05 |
| Street Address |
3015 E SKELLY DR SUITE 135 |
| City | TULSA |
| State | OK |
| Zip Code | 74105-6317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285294421 | Mary Thomas | Counselor | 3015 E Skelly Dr, Tulsa, OK 74105-6317 | 2019-06-19 |
| 1427614213 | Brittney Zickefoose | Social Worker | 3015 E Skelly Dr, Tulsa, OK 74105-6317 | 2019-05-16 |
| 1215452305 | Lorena Isamar Herrera | Case Manager/Care Coordinator | 3015 E Skelly Dr, Tulsa, OK 74105-6317 | 2017-08-09 |
| 1295269652 | Bre Campbell | Case Manager/Care Coordinator | 3015 E Skelly Dr, Suite 103, Tulsa, OK 74105-6317 | 2017-04-12 |
| 1588197719 | Brittanie Harmon | Case Manager/Care Coordinator | 3015 E Skelly Dr, Suite 103, Tulsa, OK 74105-6317 | 2017-04-05 |
| 1326570029 | Ignacio Saldana | Case Manager/Care Coordinator | 3015 E Skelly Dr, Suite 103, Tulsa, OK 74105-6317 | 2017-03-31 |
| 1790226959 | Kandice Lawson | Case Manager/Care Coordinator | 3015 E Skelly Dr, Suite 103, Tulsa, OK 74105-6317 | 2017-03-20 |
| 1942741772 | Carrie Roberts | Counselor | 3015 E Skelly Dr, Suite 103, Tulsa, OK 74105-6317 | 2017-03-13 |
| 1063950624 | Breakthrough Family Counseling Services | Community/Behavioral Health | 3015 E Skelly Dr, 211-7, Tulsa, OK 74105-6317 | 2017-02-03 |
| 1689110900 | Rachel Ragsdale | Case Management | 3015 E Skelly Dr, Ste 103, Tulsa, OK 74105-6317 | 2017-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208817 | Op Pharmacy LLC | Pharmacy | 2865 E. Skelly Dr., Ste 225, Tulsa, OK 74105 | 2020-09-08 |
| 1114560554 | Secure Interpretation, LLC | Neurological Surgery | 5561 South Lewis Ave, Tulsa, OK 74105 | 2019-10-17 |
| 1629547286 | Kealey Jordan Oliver | Occupational Therapist | 3223 E. 31st Steet, Tulsa, OK 74105 | 2018-11-13 |
| 1265915631 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3516 S Peoria Ave, Tulsa, OK 74105 | 2018-09-12 |
| 1235635277 | Brenda Kay Sanders | Speech-Language Pathologist | 4911 S Detroit Ave, Tulsa, OK 74105 | 2018-03-30 |
| 1417400771 | Caroline Hunter Heineck | Speech-Language Pathologist | 3223 E. 31st St., Tulsa, OK 74105 | 2016-08-03 |
| 1437509544 | Reliance Care Health Services LLP | Home Health | 5810 S. Peoria Avenue, Tulsa, OK 74105 | 2016-06-20 |
| 1578921748 | Latisha Henderson | Case Manager/Care Coordinator | 3015 E. Skelly Drive, Suite 103, Tulsa, OK 74105 | 2016-02-03 |
| 1326424573 | Evelyn J Fennell | Nurse's Aide | 1143 E 57th Place, Tulsa, OK 74105 | 2015-08-10 |
| 1255717757 | Rebecca Ann Hughes | Dentist | 3150 E 41st St Ste 131, Tulsa, OK 74105 | 2015-08-06 |
| Find all providers in zip 74105 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255979340 | Tulsa Children's Development Center | Psychologist | 6931 S 66th East Ave Ste 200, Tulsa, OK 74133-1765 | 2019-12-19 |
| 1770084600 | Lisa Cromer | Psychologist | 8810 S Yale Ave Ste J, Tulsa, OK 74137-3551 | 2018-02-26 |
| 1124557426 | State of Oklahoma - Osu Center for Health Science College of Osteopath | Psychologist | 2488 E 81st St Ste 3700, Tulsa, OK 74137-4290 | 2017-06-08 |
| 1518339829 | Nathan Brusich | Psychologist | 5230 E 69th Pl, Tulsa, OK 74136-3407 | 2015-10-26 |
| 1649530023 | Namik Kirlic | Psychologist | 1304 W Easton St, Tulsa, OK 74127-6903 | 2012-05-21 |
| 1336448455 | Victoria Leigh Tracy | Psychologist | 7146 S Braden Ave Ste 700, Tulsa, OK 74136-6335 | 2011-03-16 |
| 1598061780 | Diane Constance Kirk | Psychologist | 3010 S Harvard Avenue, Suite 110, Tulsa, OK 74114-6124 | 2011-02-04 |
| 1841509197 | Victoria Lee Mccoy | Psychologist | 6655 S. Yale A, Laureate Psychiatric Clinic and Hospital, Tulsa, OK 74136 | 2010-10-05 |
| 1023295672 | John Stewart II | Psychologist | 5100 E Skelly Dr Ste 130, Tulsa, OK 74135 | 2008-01-25 |
| 1952506727 | Horace Wade Bedwell | Psychologist | 7945 S Lakewood Ave, Tulsa, OK 74136-9106 | 2007-06-20 |
| 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.