AUDRA MICHELLE YADACK


Address: 4601 N Classen Blvd, Oklahoma City, OK 73118-4815
Phone: 4058409999

AUDRA MICHELLE YADACK (NPI# 1851611602) 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) 1851611602
Entity Type Individual
Full Name AUDRA MICHELLE YADACK
Other Name AUDRA MICHELLE WENDT
Credential M.D.
Practice Address 4601 N Classen Blvd
Oklahoma City
OK 73118-4815
Mailing Address 450 Clarkson Ave. Suny Downstate Medical Center
Department of Psychiatry and Behavioral Sciences
New York City
NY 11203
Practice Telephone 4058409999
Practice Fax Number 4058409998
Mailing Telephone 7182702902
Enumeration Date 2010-06-03
Last Update Date 2016-12-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0805X Psychiatry & Neurology
Specialization: Geriatric Psychiatry
32083 OK Allopathic & Osteopathic Physicians

Office Location

Street Address 4601 N CLASSEN BLVD
City OKLAHOMA CITY
State OK
Zip Code 73118-4815

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154305928 Giang Binh Pham Dentist 4601 N Classen Blvd, Oklahoma City, OK 73118-4815 2005-12-05
1992063085 Cynthia G. Barnard Social Worker 4601 N Classen Blvd, Oklahoma City, OK 73118-4815 2012-04-26
1174742779 Sydney Bright Warren Social Worker 4601 N Classen Blvd, Oklahoma City, OK 73118-4815 2007-04-24
1174742597 Shantharam Darbe M D P C Psychiatry & Neurology 4601 N Classen Blvd, Oklahoma City, OK 73118-4815 2007-04-24
1871561027 Ernest Edward Beckham Psychologist 4601 N Classen Blvd, Oklahoma City, OK 73118-4815 2006-03-14
1982677654 Gilberto Castillo Torres Physician Assistant 4601 N Classen Blvd, Oklahoma City, OK 73118-4815 2006-02-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255812772 Karrie Danea Moreno Behavior Technician 1507 Ne 31st, Oklahoma, OK 73118 2018-08-23
1528578499 Revive Medical LLC General Practice 4215 N Classen Blvd Ste 103, Oklahoma City, OK 73118 2017-10-05
1225556228 Anika Carr Case Manager/Care Coordinator 1212 Nw 32nd Street, Oklahoma City, OK 73118 2017-08-30
1740635168 Nikhil Malhotra Internal Medicine 3635 Vista Avenue At Grand Boulevard, 14th Floor, Desloge Towers, St. Louis, MO 73118 2016-05-04
1144694183 Christopher Woon Counselor 4001 N Classen, Suite 105, Oklahoma City, OK 73118 2015-11-13
1699181925 Stac Embry Counselor 3321 N. Mckinley Ave, Oklahoma City, OK 73118 2014-07-08
1194161216 Jennifer Kaye Powers Counselor 3124 N. Classen Blvd., Ste. A, Oklahoma City, OK 73118 2013-05-15
1932445491 Jessica Camp Behavioral Analyst 3220 N Harvey Pkwy, Oklahoma City, OK 73118 2013-01-02
1942578661 Michael D Danielson Behavioral Analyst 4232 N Sante Fe Ave, Oklahoma City, OK 73118 2011-12-08
1912280587 Tara Roberts Counselor 1743 Nw 37th, Oklahoma City, OK 73118 2011-09-21
Find all providers in zip 73118

Taxonomy Information

Taxonomy Code 2084P0805X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Geriatric Psychiatry

Taxonomy Definition

Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265514715 Donna Fenton Gibson Psychiatry & Neurology 2501 Cummings Dr, Oklahoma City, OK 73107-2108 2006-10-20
1639343650 Psychiatric Health Corporation Psychiatry & Neurology 10101 S Pennsylvania Ave, Suite A, Oklahoma City, OK 73159-6929 2008-04-22
1730260084 Charles J Alexis Psychiatry & Neurology 921 Ne 13th St, Oklahoma City, OK 73104-5007 2006-10-17
1124052089 John C. Andrus Psychiatry & Neurology 5100 N Brookline Ave, 950, Oklahoma City, OK 73112-3623 2006-07-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003209057 Psydoc LLC Psychiatry & Neurology 309 N Redbud Ave, Broken Arrow, OK 74012-2376 2015-03-16
1255591392 Gs Medical Consultants Inc Psychiatry & Neurology 2805 S Bryant Ave, Suite A, Edmond, OK 73013-6159 2008-06-12
1114011764 Kirsten Matthews Wilkins Psychiatry & Neurology 4502 E 41st St, Dept of Psychiatry, Tulsa, OK 74135-9923 2006-10-03
1518903764 Ernest George Shadid Psychiatry & Neurology 3280 Marshall Ave, Norman, OK 73072-8028 2006-06-22
1134199250 Jimmie D Mcadams Jr. Psychiatry & Neurology 6655 S Yale Ave, Laureate Psychiatric Clinic and Hospital, Tulsa, OK 74136-3326 2006-01-23
1629052808 Patricia A. Costner Psychiatry & Neurology 6655 S Yale Ave, Laureate Psychiatric Clinic and Hospital, Tulsa, OK 74136-3326 2005-12-01

Competitor

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City OKLAHOMA CITY
Zip Code 73118

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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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