DYNAMIC PSYCHOLOGICAL & MEDIATION SERVICES


Address: 104 S 7th St, Clinton, OK 73601
Phone: 5804021696

DYNAMIC PSYCHOLOGICAL & MEDIATION SERVICES (NPI# 1477045995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477045995
Entity Type Organization
Organization Name DYNAMIC PSYCHOLOGICAL & MEDIATION SERVICES
Other Organization Name DYNAMIC PSYCHOLOGICAL & MEDIATION SERVICES
Practice Address 104 S 7th St
Clinton
OK 73601
Mailing Address 311 Granite Wash
Clinton
OK 73601-3649
Practice Telephone 5804021696
Mailing Telephone 5804021696
Enumeration Date 2018-05-31
Last Update Date 2018-05-31
Authorized Official Name JAMES GICHUKI (DIRECTOR/OWNER)
Authorized Official Telephone 5804021696
Authorized Official Credential MS, LPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
6010 OK Behavioral Health & Social Service Providers

Other Provider/Organization Names

Other Name Type Code
Dynamic Psychological & Mediation Services Doing Business As Name - Organization

Office Location

Street Address 104 S 7TH ST
City CLINTON
State OK
Zip Code 73601

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225514458 April Walker Pharmacist 100 N. 30th, Clinton, OK 73601 2018-07-11
1619490851 Kristyn Wagner Social Worker 90 N 31st Street, Clinton, OK 73601 2017-07-19
1124478193 Lindsay Dlugonski Nurse Practitioner 545 S. 30th Street, Clinton, OK 73601 2016-06-20
1881059434 Cathrine Mears Counselor 94 N 31st, Clinton, OK 73601 2015-12-28
1326464603 Melissa Lucia Torres Nurse Practitioner 3140 W. Hayes, Clinton, OK 73601 2014-03-11
1356789341 Clinton Hmpn, LLC Family Medicine 129 S. 9th Street, Clinton, OK 73601 2013-06-12
1881950970 Namen Bouma Counselor 70-100 N. 31st Street, Clinton, OK 73601 2012-04-03
1366717928 Sherri Lee Milliron Counselor 70-100 N 31st, Clinton, OK 73601 2012-03-15
1740597087 Susan Kathleen Hodges Counselor 19 Sunset Place, Clinton, OK 73601 2010-09-08
1518274224 Penny Jane Lockhart Counselor 1101 Dell Drive, Clinton, OK 73601 2010-09-02
Find all providers in zip 73601

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144832882 Lativia S Brown Counselor 9500 Baymar Ct, Clinton, MD 20735-3399 2020-08-22
1013570449 Jennifer Marie Bartkowiak Counselor 2 Williams St Ste 1, Clinton, NY 13323-1748 2019-04-22
1295290609 Alexis Marie Coleman Counselor 205 Shields St, Clinton, NC 28328-3241 2019-02-11
1225592140 India Alexis Kea Counselor 9015 Woodyard Rd Ste 210, Clinton, MD 20735-4209 2019-01-24
1831688233 Jed Black Counselor 1407 N 2000 W Ste J, Clinton, UT 84015-8563 2018-05-02
1093214116 Amy Elizabeth Glaser Counselor 40 Fairview Ave, Clinton, NJ 08809-1330 2018-02-04
1437662509 Nancy Anne Baumgartner Counselor 65 Old Highway 22 Ste 7b, Clinton, NJ 08809-1315 2017-11-13
1356868236 Gwendolyn Blake Counselor 65 Old Rt. 22, Suite 7b, Clinton, NJ 08809 2017-08-23
1497282743 Sharon Vessel Counselor 10105 Plank Road Suite A, Clinton, LA 70722 2017-05-17
1316479579 Jessica Butt Counselor 105 6th Ave N Ste B, Clinton, IA 52732-3825 2017-03-28
Find all providers in CLINTON

Competitor

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City CLINTON
Zip Code 73601

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Dataset Information

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.

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