KEELEY D MITCHELL (NPI# 1386181105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386181105 |
| Entity Type | Individual |
| Full Name | KEELEY D MITCHELL |
| Credential | M. ED. |
| Practice Address |
326 N Union Ave Shawnee OK 74801-7053 |
| Practice Telephone | 4052736794 |
| Practice Fax Number | 4058781037 |
| Mailing Telephone | 4052736794 |
| Mailing Fax Number | 4058781037 |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
193606 | OK | Behavioral Health & Social Service Providers |
| Street Address |
326 N UNION AVE |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74801-7053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649421876 | Pamela Lynn Woods | Counselor | 326 N Union Ave, Shawnee, OK 74801-7053 | 2008-10-07 |
| 1821615097 | Charla Culver | Speech-Language Pathologist | 326 N Union Ave, Shawnee, OK 74801-7053 | 2020-07-02 |
| 1942820675 | Susan Adcock | Psychologist | 326 N Union Ave, Shawnee, OK 74801-7053 | 2020-04-22 |
| 1417577248 | Jill Dunn | Psychologist | 326 N Union Ave, Shawnee, OK 74801-7053 | 2020-04-22 |
| 1770103491 | Gerda Ann Christensen | Occupational Therapy Assistant | 326 N Union Ave, Shawnee, OK 74801-7053 | 2020-04-22 |
| 1124505052 | Team Clinic Management Partners LLC | Clinic/Center | 326 N Union Ave, Shawnee, OK 74801-7053 | 2018-07-24 |
| 1932647120 | Jennifer Gates | Speech-Language Pathologist | 326 N Union Ave, Shawnee, OK 74801-7053 | 2017-02-07 |
| 1508304791 | Taylor Heckart | Occupational Therapy Assistant | 326 N Union Ave, Shawnee, OK 74801-7053 | 2017-02-07 |
| 1952849259 | Tiffany Amsler | Speech-Language Pathologist | 326 N Union Ave, Shawnee, OK 74801-7053 | 2017-02-07 |
| 1164960332 | Carol Reggio | Speech-Language Pathologist | 326 N Union Ave, Shawnee, OK 74801-7053 | 2017-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538609037 | Melissa Lanier | Specialist | 801 N. Louisa, Shawnee, OK 74801 | 2017-03-02 |
| 1518365287 | Melanie A. Croy | Counselor | 1605 N. Harrison, Shawnee, OK 74801 | 2014-12-12 |
| 1134532229 | Megan Malouf | Registered Nurse | 2307 Gordon Cooper Dr., Shawnee, OK 74801 | 2014-06-05 |
| 1063836609 | Daniel Antwain Shaw | Counselor | 605 S. Pottenger Ave, Shawnee, OK 74801 | 2014-02-18 |
| 1639514862 | Cheryl Jeannette Left Hand | Counselor | 101 N. Union, Shawnee, OK 74801 | 2013-05-01 |
| 1881948644 | Lena I Samilton | Counselor | 319 S. Kennedy Ave., Apt.112, Shawnee, OK 74801 | 2012-11-01 |
| 1235433681 | Jenifer Sloan | Case Manager/Care Coordinator | 2029 S. Gordon Cooper Dr., Shawnee, OK 74801 | 2010-12-28 |
| 1295854958 | Jack C Luman | Dentist | 1410 N Harrison St, Shawnee, OK 74801 | 2007-03-27 |
| 1942375274 | M Gerald Ball | Psychologist | 819 North Kickapoo, Shawnee, OK 74801 | 2006-11-21 |
| 1205912573 | Regina Steciak Tanner | Physical Therapist | 909 N Kickapoo, Shawnee, OK 74801 | 2006-10-31 |
| Find all providers in zip 74801 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820675 | Susan Adcock | Psychologist | 326 N Union Ave, Shawnee, OK 74801-7053 | 2020-04-22 |
| 1417577248 | Jill Dunn | Psychologist | 326 N Union Ave, Shawnee, OK 74801-7053 | 2020-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808274 | Laticia D Vacca | Psychologist | 210 N Magnolia, Stratford, OK 74872-4808 | 2020-10-09 |
| 1972136455 | Kristin Clouser | Psychologist | 10141 S 92nd East Ave, Tulsa, OK 74133-6932 | 2020-02-12 |
| 1891148045 | Emily Anderson | Psychologist | 10220 Lyndon Rd, Oklahoma City, OK 73120-4206 | 2016-07-22 |
| 1306216742 | Christopher John Klein | Psychologist | 6216 S Lewis Ave Ste 138, Tulsa, OK 74136-1084 | 2015-09-28 |
| 1952783342 | Lisa Pate | Psychologist | 407 Hughes Dr, Poteau, OK 74953-5437 | 2015-06-23 |
| 1700286069 | Kimberly Tedford | Psychologist | 117 Elwood Dr, Edmond, OK 73013-4413 | 2014-08-23 |
| 1174934350 | Stacy Mckinney | Psychologist | 18000 Highway 105, Meridian, OK 73058-9671 | 2014-05-09 |
| 1528402989 | Dede Marann Stephens | Psychologist | 5085 S. Hwy 48, Coleman, OK 73432-0219 | 2013-04-29 |
| 1134469505 | Sue E Hoppe | Psychologist | 155 West Peterson Drive, Mead, OK 73449 | 2013-02-22 |
| 1679819015 | Lacori C Bryant | Psychologist | 100 W Wilshire Blvd # 220, Oklahoma City, OK 73116-9050 | 2012-12-12 |
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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.