DESTI SHEPARD EDWARDS (NPI# 1770139644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770139644 |
| Entity Type | Individual |
| Full Name | DESTI SHEPARD EDWARDS |
| Credential | PHD |
| Practice Address |
1200 Childrens Ave Oklahoma City OK 73104-4637 |
| Mailing Address |
500 Central Park Dr Apt 303 Oklahoma City OK 73105-1716 |
| Practice Telephone | 4052714407 |
| Mailing Telephone | 2252781857 |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
1200 CHILDRENS AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73104-4637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477546679 | Harold M Burkhart | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1200 Childrens Ave, Ste 2e, Oklahoma City, OK 73104-4637 | 2005-08-24 |
| 1841814241 | Trista Anne Vancuren | Student in an Organized Health Care Education/Training Program | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2020-06-01 |
| 1568086965 | Kaleb Evan Fuller | Student in an Organized Health Care Education/Training Program | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2020-06-01 |
| 1366065377 | Caroline Blakley | Student in an Organized Health Care Education/Training Program | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2020-05-26 |
| 1356964514 | Rebecca Mary Varkey | Student in an Organized Health Care Education/Training Program | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2020-05-22 |
| 1821611419 | Nicholas Reede Hoffsommer | Student in an Organized Health Care Education/Training Program | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2020-05-19 |
| 1699398172 | Daniel Joseph Moore | Student in an Organized Health Care Education/Training Program | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2020-05-19 |
| 1982227419 | Huan Pham | Student in an Organized Health Care Education/Training Program | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2020-05-19 |
| 1053934570 | Raj Patel | Student in an Organized Health Care Education/Training Program | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2020-05-19 |
| 1750903449 | Naseem Alammar | Student in an Organized Health Care Education/Training Program | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2020-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356979645 | Kayla Campbell | Dietitian, Registered | Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 | 2020-03-31 |
| 1447715453 | Roman Michael Garcia | Dentist | Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 | 2019-02-04 |
| 1265902340 | Jenna Lyn Celii | Registered Nurse | 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 | 2018-11-30 |
| 1407337462 | Opus Medical, LLC | Psychiatry & Neurology | 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 | 2018-08-27 |
| 1316433295 | Syed Muhammad Shakaib Quadri | Pathology | 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 | 2018-07-03 |
| 1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
| 1417440793 | Helen Judith Turkson Apetor | Nurse Practitioner | 700 Ne 13th, Oklahoma City, OK 73104 | 2018-06-11 |
| 1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
| 1558851220 | Bryce Yohannan | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 | 2018-05-17 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| Find all providers in zip 73104 | ||||
| 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 | 73104 |
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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.