DR. BRIAN A. BOATWRIGHT (NPI# 1366722712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366722712 |
| Entity Type | Individual |
| Full Name | DR. BRIAN A. BOATWRIGHT |
| Credential | PSY.D. |
| Practice Address |
8110 S Yale Ave Tulsa OK 74137-2210 |
| Practice Telephone | 9187942003 |
| Practice Fax Number | 9187942010 |
| Mailing Telephone | 9187942003 |
| Mailing Fax Number | 9187942010 |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2013-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 1144 | OK | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200463840A | 05 | |
| MEDICARE GROUP NPI | 1295091411 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871929380 | Brian Boatwright | Counselor | 435 Clark Rd Ste 107, Jacksonville, FL 32218-5558 | 2013-09-17 |
| Street Address |
8110 S YALE AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74137-2210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679572358 | Amy Zajaczkowski Stauffer | Psychiatry & Neurology | 8110 S Yale Ave, Tulsa, OK 74137-2210 | 2005-07-15 |
| 1750745642 | Toni Li Makipour | Psychiatry & Neurology | 8110 S Yale Ave, Tulsa, OK 74137-2210 | 2016-04-07 |
| 1730526328 | Kristin Delaney King | Psychiatry & Neurology | 8110 S Yale Ave, Tulsa, OK 74137 | 2013-05-23 |
| 1932429354 | Brooke N. Mcqueen | Psychiatry & Neurology | 8110 S Yale Ave, Tulsa, OK 74137-2210 | 2010-06-08 |
| 1265676944 | Hilary Anne Kneale | Psychiatry & Neurology | 8110 S Yale Ave, Tulsa, OK 74137 | 2009-04-27 |
| 1689702391 | Krista A Utter | Speech-Language Pathologist | 8110 S Yale Ave, Tulsa, OK 74137-2210 | 2007-03-02 |
| 1831270339 | Neurological Associates of Tulsa Inc | Psychiatry & Neurology | 8110 S Yale Ave, Tulsa, OK 74137-2210 | 2006-10-18 |
| 1275560708 | Randall Webb | Psychiatry & Neurology | 8110 S Yale Ave, Tulsa, OK 74137-2210 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205487493 | Christopher Thibeault | Physician Assistant | 10326 S Oswego Ave, Tulsa, OK 74137 | 2019-09-27 |
| 1851896237 | Leslie King | Nurse Practitioner | 4809 East 89th Street South, Suite 100, Tulsa, OK 74137 | 2018-03-27 |
| 1245756428 | Olakunle Ajanaku | Dentist | 4818 East 113th Place South, Tulsa, OK 74137 | 2017-08-18 |
| 1831610096 | Cameron Craig | Dentist | 9671 South Riverside Drive East, Tulsa, OK 74137 | 2017-06-28 |
| 1669915336 | Verum Health | Chiropractor | 5014 East 101st Street, Suite 200, Tulsa, OK 74137 | 2016-11-29 |
| 1518327014 | Richard A Felmlee | General Practice | 8955 S. College Place, Tulsa, OK 74137 | 2016-02-26 |
| 1164815395 | John F Carletti Dds Prof Corp | Dentist | 2808 E. 101st St., Tulsa, OK 74137 | 2015-03-12 |
| 1023356581 | The Bair Foundation | Exclusive Provider Organization | 2921 E. 91st St, Tulsa, OK 74137 | 2013-01-17 |
| 1588900328 | Isaac Newton Causey | Counselor | 9325 S. Erie Avenue, Tulsa, OK 74137 | 2012-12-26 |
| 1952656894 | Crystal I Phillips | Behavioral Analyst | 2921 E 91st, Tulsa, OK 74137 | 2012-07-17 |
| Find all providers in zip 74137 | ||||
| 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 |
| 1063423994 | Terry Glen Shaw | Clinical Neuropsychologist | 7146 S Braden, Suite 500, Tulsa, OK 74136 | 2006-08-09 |
| 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 |
| 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.