SSM HEALTH CARE OF OKLAHOMA, INC (NPI# 1598168635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598168635 |
| Entity Type | Organization |
| Organization Name | SSM HEALTH CARE OF OKLAHOMA, INC |
| Other Organization Name | ST ANTHONY PHYSICIANS PSYCHOLOGY AT FAMILY MEDICINE CENTER |
| Practice Address |
608 Nw 9th St Suite 1100 Oklahoma City OK 73102-1068 |
| Practice Telephone | 4052313000 |
| Practice Fax Number | 4052313073 |
| Mailing Telephone | 4052313000 |
| Mailing Fax Number | 4052313073 |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2014-10-03 |
| Authorized Official Name | CRYSTAL L PENA (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 4052727452 |
| Is Organization Subpart | Y |
| Parent Organization Name | SSM HEALTH CARE OF OKLAHOMA, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| St Anthony Physicians Psychology at Family Medicine Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326555434 | Ssm Health Care of Oklahoma, Inc | Internal Medicine | 1102 W Macarthur St, Shawnee, OK 74804-1743 | 2018-01-10 |
| 1457894941 | Ssm Health Care of Oklahoma, Inc | Internal Medicine | 305 S 5th St, Enid, OK 73701-5832 | 2016-12-01 |
| 1891245882 | Ssm Health Care of Oklahoma, Inc | Family Medicine | 3400 S Douglas Blvd, Suite 301, Oklahoma City, OK 73150-1001 | 2016-10-13 |
| 1740730720 | Ssm Health Care of Oklahoma, Inc | Internal Medicine | 1111 N Lee Ave, Suite 300, Oklahoma City, OK 73103-2600 | 2016-10-13 |
| 1811442197 | Ssm Health Care of Oklahoma, Inc | Pharmacy | 3400 S Douglas Blvd, Suite 100, Oklahoma City, OK 73150-1001 | 2016-08-17 |
| 1316345531 | Ssm Health Care of Oklahoma, Inc | Family Medicine | 6201 N Santa Fe Ave, Suite 1010, Oklahoma City, OK 73118-7538 | 2014-12-22 |
| 1336546621 | Ssm Health Care of Oklahoma, Inc | Surgery | 535 Nw 9th St, Suite 100, Oklahoma City, OK 73102-1070 | 2014-12-02 |
| 1437561180 | Ssm Health Care of Oklahoma, Inc | Psychiatry & Neurology | 333 Central Park W, Suite 36, New York, NY 10025-7145 | 2014-05-29 |
| 1801190061 | Ssm Health Care of Oklahoma, Inc | Family Medicine | 6908 E Reno Ave, Building 1, Midwest City, OK 73110-2128 | 2011-01-03 |
| 1184723678 | Ssm Health Care of Oklahoma, Inc | Psychiatry & Neurology | 2129 Sw 59th St, Oklahoma City, OK 73119-7024 | 2006-09-21 |
| Street Address |
608 NW 9TH ST SUITE 1100 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73102-1068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083618003 | Keith John Kassabian | Internal Medicine | 608 Nw 9th St, Suite 2200, Oklahoma City, OK 73102-1068 | 2005-06-08 |
| 1417578725 | Olufolake Olufowote | Student in an Organized Health Care Education/Training Program | 608 Nw 9th St, Oklahoma City, OK 73102-1068 | 2020-04-28 |
| 1174152680 | Lan-uyen Trang Stephanie Nguyen | Student in an Organized Health Care Education/Training Program | 608 Nw 9th St, Oklahoma City, OK 73102-1068 | 2020-04-06 |
| 1548824345 | John Bradley Schoonover Jr. | Student in an Organized Health Care Education/Training Program | 608 Nw 9th St, Oklahoma City, OK 73102-1068 | 2019-04-26 |
| 1992292841 | Jessnie Jose | Student in an Organized Health Care Education/Training Program | 608 Nw 9th St, Oklahoma City, OK 73102-1068 | 2018-04-17 |
| 1972036168 | Nathan Blake John | Family Medicine | 608 Nw 9th St, Suite 1000, Oklahoma City, OK 73102-1068 | 2017-04-05 |
| 1346771250 | Robert Paul Antosh | Family Medicine | 608 Nw 9th St, Suite 1100, Oklahoma City, OK 73102-1068 | 2017-03-22 |
| 1811447899 | Saints Medical Group, LLC | Internal Medicine | 608 Nw 9th St, Suite 5000, Oklahoma City, OK 73102-1068 | 2016-10-13 |
| 1760834089 | Lisa Snider | Pharmacist | 608 Nw 9th St, Suite 3200, Oklahoma City, OK 73102-1068 | 2016-07-11 |
| 1548612922 | Roshini Ann Samuel | Family Medicine | 608 Nw 9th St, Suite 1000, Oklahoma City, OK 73102-1068 | 2016-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548895931 | Court Assistance Programs Inc. | Counselor | 600 N Dewey Avenue Suite 100, Oklahoma City, OK 73102 | 2020-03-06 |
| 1013434117 | Mark Jeffrey Allison I | Case Manager/Care Coordinator | 400 North Walker Avenue, Suite 190, Oklahoma City, OK 73102 | 2017-08-29 |
| 1770009052 | Christopher Minh Nguyen | Clinical Neuropsychologist | 601 Robert S Kerr Ave Apt 108, Oklahoma City, OK 73102 | 2017-08-17 |
| 1700263928 | Micaela Lupov | Physician Assistant | 101 N Robinson Ave Ste 200, Oklahoma City, OK 73102 | 2015-04-27 |
| 1639577885 | La Fuente Prosthetics | Prosthetic/Orthotic Supplier | 229 N.w. 9th Street, Oklahoma City, OK 73102 | 2014-12-19 |
| 1518378603 | Whitney Thorne | Surgery | 608 Nw 9th St Ste 2200, Oklahoma City, OK 73102 | 2014-05-12 |
| 1356680078 | Dustin W Choate | Counselor | 101 Park Ave Ste 1300, Oklahoma City, OK 73102 | 2013-02-01 |
| 1174889778 | Sailesh Arulkumar | Anesthesiology | 535 Nw 9th St Ste 305, Oklahoma City, OK 73102 | 2012-04-09 |
| 1790092328 | Stephanie Brill | Counselor | 415 Nw 5th Street, Oklahoma City, OK 73102 | 2010-09-02 |
| 1205157120 | Mohammad Omar Ramadan | Urology | Ssm Health Medical Group Urology, 608 Nw 9th St., Suite 5000, Oklahoma City, OK 73102 | 2010-06-15 |
| Find all providers in zip 73102 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831657592 | Jocelyn Barton Phd Inc | Psychologist | 8241 S Walker Ave Ste 200, Oklahoma City, OK 73139-9401 | 2019-03-12 |
| 1902385859 | Danell Marie Rahni | Psychologist | 17300 Serrano Dr, Oklahoma City, OK 73170 | 2018-08-11 |
| 1588188072 | Kathryn Jeter | Psychologist | 1200 Childrens Ave Ste 12400, Oklahoma City, OK 73104-4637 | 2017-07-27 |
| 1669912598 | Christopher Gibson | Psychologist | 2810 Dorchester Dr, 17, Oklahoma City, OK 73120-4561 | 2017-02-25 |
| 1811240161 | Teresa Davis Baird | Psychologist | 3537 Ne Military Cir, Oklahoma City, OK 73111-4305 | 2012-10-24 |
| 1801031448 | Mary Rose Rolison | Psychologist | 10802 Quail Plaza Dr, #203, Oklahoma City, OK 73120-3116 | 2008-12-11 |
| 1437361847 | Dena Pinson | Psychologist | 5500 N Western Ave Ste 157, Oklahoma City, OK 73118-4018 | 2007-05-06 |
| 1548482169 | Philip C. Hyde, Ph.d., P.C. | Psychologist | 1117 Nw 50th. St., Oklahoma City, OK 73118-4401 | 2007-05-03 |
| 1093935686 | Janet Kates | Psychologist | 5818 Nw 50th, Suite 200, Oklahoma City, OK 73123-3671 | 2007-04-26 |
| 1316003809 | Ryan M Scott | Psychologist | 2433 Nw 30th St, Oklahoma City, OK 73112-7803 | 2006-12-29 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73102 |
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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.