SPECTRUM OF HOPE, LLC


Address: 4908 S Sheridan Rd, Tulsa, OK 74145-5712
Phone: 9189849153

SPECTRUM OF HOPE, LLC (NPI# 1669983409) 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) 1669983409
Entity Type Organization
Organization Name SPECTRUM OF HOPE, LLC
Other Organization Name SOARING ON HOPE PEDIATRIC THERAPY AND AUTISM CENTER
Practice Address 4908 S Sheridan Rd
Tulsa
OK 74145-5712
Practice Telephone 9189849153
Mailing Telephone 9189849153
Enumeration Date 2017-10-19
Last Update Date 2018-12-26
Authorized Official Name MISS JESSICA MARIE DYER (CEO AND OWNER)
Authorized Official Telephone 9185103232
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 133VN1004X Dietitian, Registered
Specialization: Nutrition, Pediatric
Dietary & Nutritional Service Providers
N 172V00000X Community Health Worker Other Service Providers
N 224Z00000X Occupational Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
N 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers
N 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
Behavioral Health & Social Service Providers
N 103TM1800X Psychologist
Specialization: Mental Retardation & Developmental Disabilities
Behavioral Health & Social Service Providers
N 133V00000X Dietitian, Registered Dietary & Nutritional Service Providers
N 225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 225XM0800X Occupational Therapist
Specialization: Mental Health
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OK 200745940 05

Other Provider/Organization Names

Other Name Type Code
Soaring On Hope Pediatric Therapy and Autism Center Doing Business As Name - Organization
SOH KIDS Doing Business As Name - Organization
Spectrum of Hope Other Name - Individual/Organization
sunshine center pediatric therapy Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1922555044 Spectrum of Hope, LLC Community/Behavioral Health 11407 Meadowlark Dr, Ijamsville, MD 21754-8917 2016-09-07
1386836831 Spectrum of Hope, LLC Community/Behavioral Health 14110 Cypress Creek Blvd, Cypress, TX 77429-3214 2007-08-17

Office Location

Street Address 4908 S SHERIDAN RD
City TULSA
State OK
Zip Code 74145-5712

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942801550 Jordan Makenzie Stephenson Behavior Technician 4908 S Sheridan Rd, Tulsa, OK 74145-5712 2020-11-02
1316546815 Rachel Gray Behavior Technician 4908 S Sheridan Rd, Tulsa, OK 74145-5712 2020-10-26
1497354997 Angel Manuel Herrera Behavior Technician 4908 S Sheridan Rd, Tulsa, OK 74145-5712 2020-10-26
1760081178 Remy Manghum Behavior Technician 4908 S Sheridan Rd, Tulsa, OK 74145-5712 2020-10-19
1013515832 Tiffany Jo Jones Behavior Technician 4908 S Sheridan Rd, Tulsa, OK 74145-5712 2020-10-14
1558969634 Calisa Zoe Goldman Behavior Technician 4908 S Sheridan Rd, Tulsa, OK 74145-5712 2020-10-12
1376141457 Mathew Tyler Grant Behavior Technician 4908 S Sheridan Rd, Tulsa, OK 74145-5712 2020-10-12
1003414194 Blake Davis Behavior Technician 4908 S Sheridan Rd, Tulsa, OK 74145-5712 2020-10-12
1184221269 Emmanuel Adesokan Behavior Technician 4908 S Sheridan Rd, Tulsa, OK 74145-5712 2020-10-02
1275140592 Emily Jordan Ernst Occupational Therapist 4908 S Sheridan Rd, Tulsa, OK 74145-5712 2020-09-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174015606 Grayson Elaine Kirk Social Worker 7028 E 32nd St, Tulsa, OK 74145 2018-05-31
1407378060 Matthew Ryan Lazar Case Manager/Care Coordinator 3405 S 95th East Ave, Tulsa, OK 74145 2017-07-14
1770014243 Sarah Truman Counselor 5332 S. Memorial Dr., Tulsa, OK 74145 2017-03-25
1265977615 Tsaw LLC Chiropractor 6949-51 E. 71st St., Tulsa, OK 74145 2016-12-21
1740722115 Green Country Pain Management Internal Medicine 6048-a S Sheridan Rd, Tulsa, OK 74145 2016-11-16
1790234003 Joy Home Care Services LLC In Home Supportive Care 9434 E 51st Street, Tulsa, OK 74145 2016-09-27
1407302821 Tammera Mcclenton Counselor 7225 E 58th St., Tulsa, OK 74145 2016-08-26
1366839482 Tesia D. Wells Marriage & Family Therapist 7226 E 41st St, Tulsa, OK 74145 2015-04-16
1942613427 Kevin Bonifield Counselor 5327 S Sheridan Rd, Tulsa, OK 74145 2014-06-03
1518208040 Kelsee Lane Mccutchen Counselor 7477 E. 46th Place, Tulsa, OK 74145 2013-03-07
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386185353 Neuropathy Treatment Clinic of Oklahoma LLC Clinic/Center 1810 E 15th St Ste D, Tulsa, OK 74104-4611 2017-03-10
1417303801 Paradigm Hormones Tulsa, Pllc Clinic/Center 6316 E 102nd St, Tulsa, OK 74137-7061 2016-05-04
1487116612 Allergy Relief of South Tulsa, LLC Clinic/Center 9940 E 81st St Ste 100, Tulsa, OK 74133-4501 2019-04-05
1952898751 Emerge Medical & Well Spa Clinic/Center 9124 S Sheridan Rd, Tulsa, OK 74133-5332 2018-04-17
1578927141 Healthworks Medical Group of Oklahoma P C Clinic/Center 3900 N Mingo Rd, Turbine Building Md 4, Tulsa, OK 74116-5000 2016-04-11
1972854768 Morton Comprehensive Health Services, Inc. Clinic/Center 1334 N Lansing Ave, Tulsa, OK 74106-5907 2012-09-20
1134474034 Morton Comprehensive Health Services, Inc. Clinic/Center 1334 N Lansing Ave, Tulsa, OK 74106-5907 2012-07-17
1003179664 Morton Comprehensive Health Services, Inc. Clinic/Center 1334 N Lansing Ave, Tulsa, OK 74106-5907 2012-06-19
1356609739 Ntco LLC Clinic/Center 2511 E 21st St, Tulsa, OK 74114-1705 2012-04-24
1902111602 Ou Health Access Network Clinic/Center 4502 E 41st St, Tulsa, OK 74135-9923 2010-08-18
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Competitor

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City TULSA
Zip Code 74145

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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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