AUDREY ANNE ROSENBLATT (NPI# 1730616236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730616236 |
| Entity Type | Individual |
| Full Name | AUDREY ANNE ROSENBLATT |
| Credential | PHD |
| Practice Address |
1212 S Air Depot Blvd Ste 17 Oklahoma City OK 73110-4860 |
| Practice Telephone | 4054556868 |
| Practice Fax Number | 8008560132 |
| Mailing Telephone | 4054556868 |
| Mailing Fax Number | 8008560132 |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
1338 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558638288 | Audrey Rosenblatt | Nurse Anesthetist, Certified Registered | 1555 Barrington Rd, Hoffman Estates, IL 60169-1019 | 2011-11-23 |
| Street Address |
1212 S AIR DEPOT BLVD STE 17 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73110-4860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124635255 | Kourtni Reynolds | Behavior Technician | 1212 S Air Depot Blvd Ste 17, Oklahoma City, OK 73110-4860 | 2020-09-23 |
| 1831705946 | Mackenzie Wenzel | Behavior Technician | 1212 S Air Depot Blvd Ste 17, Oklahoma City, OK 73110-4860 | 2020-09-23 |
| 1558979724 | Abigail Zegers | Behavior Technician | 1212 S Air Depot Blvd Ste 17, Oklahoma City, OK 73110-4860 | 2020-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255939377 | Torry E Elston | Technician/Technologist | 5908 Se 15th St, Midwest City, OK 73110 | 2020-10-12 |
| 1083225783 | Daniel B Nguyen | Pharmacist | 1601 S Air Depot, Midwest City, OK 73110 | 2020-08-14 |
| 1114494903 | Tiandrea Jeanae Neal | Behavioral Analyst | 1212 S. Air Depot, Ste 17, Midwest City, OK 73110 | 2018-10-30 |
| 1467902593 | Brian Christopher Lewis | Case Manager/Care Coordinator | 8616 Cedar Ridge Drive, Midwest City, OK 73110 | 2016-10-13 |
| 1669839312 | National Iom, Pllc | Electrodiagnostic Medicine | 1205 S. Air Depot # 102, Midwest City, OK 73110 | 2016-01-26 |
| 1003292210 | Alexandrea Funston | Speech-Language Pathologist | 224 E Blossom Drive, Midwest City, OK 73110 | 2015-08-11 |
| 1184053399 | Ronya Caraway | Community/Behavioral Health | 7901 Ne 10th, B106, Midwest City, OK 73110 | 2013-11-07 |
| 1245678374 | Layfette Lamar Fletcher | Counselor | 405 Delia Street, Midwest City, OK 73110 | 2013-06-11 |
| 1114364163 | Kathryn Ann Gray | Social Worker | 1391 North Midwest Blvd., Midwest City, OK 73110 | 2013-05-31 |
| 1841542545 | Steven Atkins Akinnfest | Counselor | 417 Reed Place, Midwest City, OK 73110 | 2012-10-05 |
| Find all providers in zip 73110 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639645708 | Elena M. Doskey | Psychologist | 1100 Ne 13th St, Oklahoma City, OK 73117-1039 | 2018-10-16 |
| 1538688262 | Erin Kate Taylor | Psychologist | 1100 Ne 13th St, Oklahoma City, OK 73117-1039 | 2017-09-13 |
| 1851846521 | Melissa Dara Bernstein | Psychologist | 1100 Ne 13th St, Oklahoma City, OK 73117-1039 | 2016-08-23 |
| 1922412774 | Stephen Gold | Psychologist | 13301 N Meridian Ave Ste 100, Oklahoma City, OK 73120-8357 | 2014-06-19 |
| 1598934523 | Jennifer Marie Guimond | Psychologist | 1100 Ne 13th St, Oklahoma City, OK 73117-1039 | 2008-02-24 |
| 1417145483 | Health Psychology Associates, Inc. | Psychologist | 10724 Sunset Blvd, Oklahoma City, OK 73120-2438 | 2007-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497111082 | Suzanne Huffman | Psychologist | 601 Vista Ln Trlr 88, Edmond, OK 73034-6329 | 2016-01-12 |
| 1790157394 | Jennifer Lucas Brusich | Psychologist | 5212 E 69th Pl, Tulsa, OK 74136-3407 | 2015-10-22 |
| 1144611336 | Kelly Davis | Psychologist | 9525 S 93rd East Ave, Tulsa, OK 74133-6160 | 2015-02-10 |
| 1558797589 | Blanca A Correa | Psychologist | 344139 E 740 Rd, Agra, OK 74824-8434 | 2013-09-23 |
| 1932546520 | Christina Dawn Willey | Psychologist | 8221 N 117th East Ave, Owasso, OK 74055-2603 | 2013-05-23 |
| 1841423845 | Anne Katherine Jacobs | Psychologist | 515 S Santa Fe Ave, Suite 106, Edmond, OK 73003-6210 | 2009-08-25 |
| 1306016118 | Diane Janice Willis | Psychologist | 4520 Ridgeline Dr, Norman, OK 73072-1729 | 2008-03-07 |
| 1821199217 | Marguerita Lynn Cagle | Psychologist | 10901 E 76th St N, Owasso, OK 74055-3631 | 2006-09-26 |
| 1003856741 | Kelly J Griffith | Psychologist | 1024 W Lakeridge Ave, Stillwater, OK 74075-2106 | 2006-06-08 |
| 1063056737 | Daniel Lawrence Gering | Psychologist | 1212 S Air Depot Blvd Ste 17, Midwest City, OK 73110-4860 | 2019-11-05 |
| Find all providers with the same taxonomy | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73110 |
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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.