| State Of Oklahoma | |
|
909 Alameda St Norman OK 73071-5229 | |
| (405) 573-3901 | |
| (405) 573-3958 |
| Full Name | State Of Oklahoma |
|---|---|
| Speciality | Clinic/Center |
| Location | 909 Alameda St, Norman, Oklahoma |
| Authorized Official Name and Position | Brianna Norman (CEP) |
| Authorized Official Contact | 4053605100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| State Of Oklahoma Po Box 400 Norman OK 73070-0400 Ph: (405) 360-5100 | State Of Oklahoma 909 Alameda St Norman OK 73071-5229 Ph: (405) 573-3901 |
| NPI Number | 1588755532 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 02/20/2026 |
| Certification Date | 02/20/2026 |
| Medicare PECOS PAC ID | 4486558962 |
|---|---|
| Medicare Enrollment ID | O20031125000846 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588755532 | NPI | - | NPPES |
| 100706950F | Medicaid | OK | |
| 100706950C | Medicaid | OK | |
| 100706950E | Medicaid | OK | |
| 100706950U | Medicaid | OK | |
| 100706950H | Medicaid | OK | |
| 100688910A | Medicaid | OK |
| Provider Name | George M Strickland |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831184480 PECOS PAC ID: 6709790785 Enrollment ID: I20031113000840 |
| Provider Name | Ondria C Gleason |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255301651 PECOS PAC ID: 6507752144 Enrollment ID: I20040223000436 |
| Provider Name | Stanley P Ardoin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649366998 PECOS PAC ID: 7214977883 Enrollment ID: I20050627000064 |
| Provider Name | Cynthia J Baugh |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1730123605 PECOS PAC ID: 2062434491 Enrollment ID: I20060322000667 |
| Provider Name | Gabriel M Cuka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306879671 PECOS PAC ID: 2769437631 Enrollment ID: I20061114000570 |
| Provider Name | Patrick S Herd |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982782181 PECOS PAC ID: 2961404694 Enrollment ID: I20070209000279 |
| Provider Name | David R Mitchell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548230139 PECOS PAC ID: 6406941855 Enrollment ID: I20071001000611 |
| Provider Name | William E Tankersley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053402347 PECOS PAC ID: 7810097219 Enrollment ID: I20080729000206 |
| Provider Name | Clayton D Morris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104906700 PECOS PAC ID: 6507930161 Enrollment ID: I20080731000285 |
| Provider Name | Aaron M Pierce |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700922820 PECOS PAC ID: 3678648235 Enrollment ID: I20080815000273 |
| Provider Name | Sridevi Nagumalli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285775759 PECOS PAC ID: 1850445271 Enrollment ID: I20090820000117 |
| Provider Name | Martha W Hernandez |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1811031016 PECOS PAC ID: 5294871182 Enrollment ID: I20091007000072 |
| Provider Name | Kim Kurvink |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982666582 PECOS PAC ID: 0749281715 Enrollment ID: I20100115000120 |
| Provider Name | Nathan J Davis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679733216 PECOS PAC ID: 4587708532 Enrollment ID: I20100215000617 |
| Provider Name | Benjamin Quiambao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770796336 PECOS PAC ID: 6709912413 Enrollment ID: I20100406000414 |
| Provider Name | Sameer Mohammed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467591693 PECOS PAC ID: 8527165125 Enrollment ID: I20100805000664 |
| Provider Name | Fadalia D Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285860643 PECOS PAC ID: 8628265048 Enrollment ID: I20101211000101 |
| Provider Name | Theresa S Farrow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659324291 PECOS PAC ID: 0446240386 Enrollment ID: I20110606000401 |
| Provider Name | Muhammad Ishaq |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457520884 PECOS PAC ID: 8325226293 Enrollment ID: I20110623000238 |
| Provider Name | Harry S Boyd |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104987031 PECOS PAC ID: 8921276718 Enrollment ID: I20110721000657 |
| Provider Name | Samuel Martin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467659953 PECOS PAC ID: 8729259973 Enrollment ID: I20110919000706 |
| Provider Name | Nicole Lee Bush |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538435169 PECOS PAC ID: 3971766932 Enrollment ID: I20120531000625 |
| Provider Name | Ashley E Walker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033348412 PECOS PAC ID: 3870757958 Enrollment ID: I20120621000449 |
| Provider Name | Jeffrey S Grantham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609034040 PECOS PAC ID: 5698931269 Enrollment ID: I20120725001116 |
| Provider Name | Brett I Cunningham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730315193 PECOS PAC ID: 8820245558 Enrollment ID: I20120830000670 |
| Provider Name | Geetika M Verma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487967717 PECOS PAC ID: 4284876525 Enrollment ID: I20130815000403 |
| Provider Name | Christina V. Reeder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619203254 PECOS PAC ID: 3072757251 Enrollment ID: I20130910000842 |
| Provider Name | Limei Yang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003049123 PECOS PAC ID: 2466696778 Enrollment ID: I20130926000096 |
| Provider Name | Robbie Lyn Tatom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326377813 PECOS PAC ID: 7810122108 Enrollment ID: I20131022000723 |
| Provider Name | Jason W Beaman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720274376 PECOS PAC ID: 2860649845 Enrollment ID: I20131028001227 |
| Provider Name | Preethy T Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881023158 PECOS PAC ID: 1557594389 Enrollment ID: I20140502000094 |
| Provider Name | John F Raizen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285798793 PECOS PAC ID: 6406079078 Enrollment ID: I20140529000964 |
| Provider Name | Linta K Abraham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245487628 PECOS PAC ID: 4587887195 Enrollment ID: I20140529002086 |
| Provider Name | Jeremy P Elledge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457539975 PECOS PAC ID: 6204052046 Enrollment ID: I20140731000044 |
| Provider Name | Sean M Whelan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790981827 PECOS PAC ID: 7012134406 Enrollment ID: I20140807002277 |
| Provider Name | Billy Holley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447492111 PECOS PAC ID: 1456578780 Enrollment ID: I20140811002003 |
| Provider Name | Sara Marie Coffey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457508525 PECOS PAC ID: 4789828575 Enrollment ID: I20141027000689 |
| Provider Name | Gloria Martz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104267236 PECOS PAC ID: 1557683851 Enrollment ID: I20141121002116 |
| Provider Name | Najma F Hamdani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588929806 PECOS PAC ID: 3173845401 Enrollment ID: I20141124000245 |
| Provider Name | Loretta M Hardy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073831046 PECOS PAC ID: 5294050191 Enrollment ID: I20150218000747 |
| Provider Name | Ruth E Barrett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174809628 PECOS PAC ID: 2163740713 Enrollment ID: I20150413000449 |
| Provider Name | Tu Bui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659712545 PECOS PAC ID: 8820307804 Enrollment ID: I20151013001707 |
| Provider Name | Joanna M Schmidt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003130790 PECOS PAC ID: 6901107127 Enrollment ID: I20151214000398 |
| Provider Name | Chittranjan Bobby Verma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629333950 PECOS PAC ID: 4880985035 Enrollment ID: I20160620001651 |
| Provider Name | Vera Featherston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194130526 PECOS PAC ID: 4385925908 Enrollment ID: I20161219002451 |
| Provider Name | Christopher G Graham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154790954 PECOS PAC ID: 7113208661 Enrollment ID: I20161221001867 |
| Provider Name | Qaiser Shamshir Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861806192 PECOS PAC ID: 7012215189 Enrollment ID: I20170405002132 |
| Provider Name | Xiomara J Porras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245581883 PECOS PAC ID: 5294008082 Enrollment ID: I20170830000105 |
| Provider Name | Lori A Peters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861735482 PECOS PAC ID: 7810250800 Enrollment ID: I20180404000242 |
| Provider Name | Donald Wayne Simpson Ii |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275916207 PECOS PAC ID: 8022371061 Enrollment ID: I20180404001886 |
| Provider Name | John Patick Laurent |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548689110 PECOS PAC ID: 5698020485 Enrollment ID: I20180619002915 |
| Provider Name | Kelly Jordan Dunn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477972495 PECOS PAC ID: 7113272816 Enrollment ID: I20180621000249 |
| Provider Name | Leslie Jeffries |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033592134 PECOS PAC ID: 5597013425 Enrollment ID: I20180808002702 |
| Provider Name | Indira R Chrisman-fewell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902279490 PECOS PAC ID: 5890032650 Enrollment ID: I20190201000154 |
| Provider Name | Rebeckah Np Preston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306400221 PECOS PAC ID: 9032443569 Enrollment ID: I20190702003473 |
| Provider Name | Hunter M Caskey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164874954 PECOS PAC ID: 5890027114 Enrollment ID: I20191105002632 |
| Provider Name | Pamela Davies-jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811555154 PECOS PAC ID: 5395178909 Enrollment ID: I20191211002412 |
| Provider Name | Heena N Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255783965 PECOS PAC ID: 0042643637 Enrollment ID: I20191212002243 |
| Provider Name | Christine Villagomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720638257 PECOS PAC ID: 6204261548 Enrollment ID: I20200115001463 |
| Provider Name | Jennifer Donnelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063725547 PECOS PAC ID: 9931536059 Enrollment ID: I20200228002190 |
| Provider Name | Latasha D Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316507114 PECOS PAC ID: 8628406063 Enrollment ID: I20200317001771 |
| Provider Name | Dawn Marie Ballew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295278240 PECOS PAC ID: 8325477250 Enrollment ID: I20200329000066 |
| Provider Name | Alana Mattioda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609496785 PECOS PAC ID: 0840615282 Enrollment ID: I20200803001437 |
| Provider Name | Jeffrey Sanders |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194285197 PECOS PAC ID: 5193141422 Enrollment ID: I20200818001910 |
| Provider Name | Matthew Ryan Mcnaughton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831755669 PECOS PAC ID: 0749606606 Enrollment ID: I20200821002815 |
| Provider Name | Kaelyn Lu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245792548 PECOS PAC ID: 1052730785 Enrollment ID: I20200930001268 |
| Provider Name | Irfan Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245752617 PECOS PAC ID: 4183036031 Enrollment ID: I20201217000224 |
| Provider Name | Jasmine Shanae Hypolite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881102010 PECOS PAC ID: 9032469432 Enrollment ID: I20210127003606 |
| Provider Name | Karen A Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700804374 PECOS PAC ID: 9032114541 Enrollment ID: I20210407000503 |
| Provider Name | Brooke Diane Hensley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477751121 PECOS PAC ID: 7911316153 Enrollment ID: I20210429001417 |
| Provider Name | Hannah E Ed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275930802 PECOS PAC ID: 3870994023 Enrollment ID: I20210625001718 |
| Provider Name | Ernest Abunaw |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811558844 PECOS PAC ID: 2062814551 Enrollment ID: I20210706003430 |
| Provider Name | Eric L Reynolds |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730701624 PECOS PAC ID: 5698172963 Enrollment ID: I20210929002033 |
| Provider Name | Amanda Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538836648 PECOS PAC ID: 0547659914 Enrollment ID: I20211105002304 |
| Provider Name | Hema M Mekala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609361476 PECOS PAC ID: 0648660019 Enrollment ID: I20211130001024 |
| Provider Name | Moriam Bolare Na-allah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285283176 PECOS PAC ID: 4486045408 Enrollment ID: I20211230002085 |
| Provider Name | Jordan Anjelica Parsons |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942863162 PECOS PAC ID: 1557755253 Enrollment ID: I20220223000337 |
| Provider Name | Michelle Miner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073782819 PECOS PAC ID: 8628115045 Enrollment ID: I20220602002441 |
| Provider Name | Reagan Gill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326587833 PECOS PAC ID: 6103204060 Enrollment ID: I20220606000259 |
| Provider Name | Dana N Kausek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548757156 PECOS PAC ID: 5698159671 Enrollment ID: I20220825002558 |
| Provider Name | Ky G Dorsey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104054451 PECOS PAC ID: 4688964240 Enrollment ID: I20220919003331 |
| Provider Name | Alexis Nicole Steinhart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174144265 PECOS PAC ID: 3476939661 Enrollment ID: I20220926000559 |
| Provider Name | Jacob Stoker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831708031 PECOS PAC ID: 0345626941 Enrollment ID: I20221005002505 |
| Provider Name | Andrew D Barbosa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205453784 PECOS PAC ID: 0547637456 Enrollment ID: I20221107001555 |
| Provider Name | Elizabeth A Fox-shipley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720628506 PECOS PAC ID: 8628447109 Enrollment ID: I20221205001599 |
| Provider Name | Sylvie A Mawoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588232722 PECOS PAC ID: 1850763178 Enrollment ID: I20230215001772 |
| Provider Name | Sable Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821667338 PECOS PAC ID: 9234501206 Enrollment ID: I20230221001791 |
| Provider Name | Bryce S Naberhaus |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023688843 PECOS PAC ID: 1052784410 Enrollment ID: I20230306001128 |
| Provider Name | Osekpamen Wickliffe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407341142 PECOS PAC ID: 5799033478 Enrollment ID: I20230306002662 |
| Provider Name | Jill K Burcham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255823464 PECOS PAC ID: 2163895475 Enrollment ID: I20230308000680 |
| Provider Name | Kaitlin Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396248456 PECOS PAC ID: 4880069202 Enrollment ID: I20230417000802 |
| Provider Name | Kelly Petree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982244695 PECOS PAC ID: 6800225830 Enrollment ID: I20230612002702 |
| Provider Name | Katie N Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386341881 PECOS PAC ID: 2860850716 Enrollment ID: I20230625000004 |
| Provider Name | Prudencia A Ijeoma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891459376 PECOS PAC ID: 6305205923 Enrollment ID: I20230629002960 |
| Provider Name | Joshua M Day |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366061780 PECOS PAC ID: 2961863493 Enrollment ID: I20230801001269 |
| Provider Name | James Ryan Molato Villaruel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245921683 PECOS PAC ID: 9638531486 Enrollment ID: I20230811000159 |
| Provider Name | Tami Broughton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245657014 PECOS PAC ID: 6709239528 Enrollment ID: I20240129002439 |
| Provider Name | Jamie Ann Tippit |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326220971 PECOS PAC ID: 7517310956 Enrollment ID: I20240201001080 |
| Provider Name | Rachael Dawn Fisk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457529521 PECOS PAC ID: 4183077548 Enrollment ID: I20240201001795 |
| Provider Name | Connie Marie Glasco |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790905107 PECOS PAC ID: 5092158139 Enrollment ID: I20240206002852 |
| Provider Name | Heather J Earley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629674718 PECOS PAC ID: 6901249903 Enrollment ID: I20240207000166 |
| Provider Name | Pamela Renee London |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578700696 PECOS PAC ID: 6406299411 Enrollment ID: I20240207000591 |
| Provider Name | John Webb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740487065 PECOS PAC ID: 8729421755 Enrollment ID: I20240207001120 |
| Provider Name | Angie Myree Foris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285847624 PECOS PAC ID: 2163865940 Enrollment ID: I20240208002279 |
| Provider Name | Cynthia Joy Wright |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194025999 PECOS PAC ID: 5395188189 Enrollment ID: I20240208002506 |
| Provider Name | Leslie Augusta Ross |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467715664 PECOS PAC ID: 4385087097 Enrollment ID: I20240209002149 |
| Provider Name | Michele Deann Troy Defrange |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639320971 PECOS PAC ID: 1658714373 Enrollment ID: I20240209002499 |
| Provider Name | Brenda Kay Seay |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386869071 PECOS PAC ID: 2668815291 Enrollment ID: I20240209003194 |
| Provider Name | Ronda Joy Campbell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194921379 PECOS PAC ID: 8729421318 Enrollment ID: I20240212000482 |
| Provider Name | Angela Rose Matos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912447384 PECOS PAC ID: 0446693899 Enrollment ID: I20240213001973 |
| Provider Name | Mary Jo Pope |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922127000 PECOS PAC ID: 2769825157 Enrollment ID: I20240213003299 |
| Provider Name | Donna Duyne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851517239 PECOS PAC ID: 2961846324 Enrollment ID: I20240214000987 |
| Provider Name | Laura Ann Ickes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376577593 PECOS PAC ID: 5698119931 Enrollment ID: I20240215000073 |
| Provider Name | Stephanie West |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801152624 PECOS PAC ID: 9436593704 Enrollment ID: I20240215000722 |
| Provider Name | Mitzy M Kantor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306256235 PECOS PAC ID: 2668899733 Enrollment ID: I20240215000723 |
| Provider Name | Michael James York |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982935326 PECOS PAC ID: 9931543121 Enrollment ID: I20240215001972 |
| Provider Name | Chiyon Rees |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184198046 PECOS PAC ID: 6507200714 Enrollment ID: I20240215002691 |
| Provider Name | Charity Tyler Crase |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992156913 PECOS PAC ID: 4981048147 Enrollment ID: I20240215004205 |
| Provider Name | Steven W Macias |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295088961 PECOS PAC ID: 9537503560 Enrollment ID: I20240219001214 |
| Provider Name | Elizabeth Ellen Bevers |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1174891667 PECOS PAC ID: 5991149726 Enrollment ID: I20240220001513 |
| Provider Name | Mohamad Y Alrifai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164092730 PECOS PAC ID: 9638513351 Enrollment ID: I20240221000573 |
| Provider Name | Katherine Sue Curley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366613549 PECOS PAC ID: 5991140410 Enrollment ID: I20240223002883 |
| Provider Name | Johnna Mitchell Phillips |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184979312 PECOS PAC ID: 2365887890 Enrollment ID: I20240223003117 |
| Provider Name | Vanessa Hunter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497008817 PECOS PAC ID: 6608211008 Enrollment ID: I20240226000736 |
| Provider Name | Kylie O'shea Forster |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336538727 PECOS PAC ID: 7719322122 Enrollment ID: I20240226000972 |
| Provider Name | Kimberly Kasulis Haggard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952510638 PECOS PAC ID: 9032554464 Enrollment ID: I20240226001515 |
| Provider Name | Melissa Dawn Barnett |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1285950840 PECOS PAC ID: 1658716964 Enrollment ID: I20240227000516 |
| Provider Name | Norma Jo Bethel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225176472 PECOS PAC ID: 4880039114 Enrollment ID: I20240227001466 |
| Provider Name | Sarah Sherman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902198310 PECOS PAC ID: 4688951270 Enrollment ID: I20240228004016 |
| Provider Name | Kohannah Hess |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063026433 PECOS PAC ID: 2769827641 Enrollment ID: I20240301000749 |
| Provider Name | Annjavetta D. Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538480157 PECOS PAC ID: 0648615542 Enrollment ID: I20240301001650 |
| Provider Name | Baylee T Chance |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295405587 PECOS PAC ID: 1850736653 Enrollment ID: I20240304000533 |
| Provider Name | Karla Ann Sheffield |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467666214 PECOS PAC ID: 4183069891 Enrollment ID: I20240304001379 |
| Provider Name | Lacey Mae Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073889531 PECOS PAC ID: 6305281023 Enrollment ID: I20240304001598 |
| Provider Name | Eric Dale Sikes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851873053 PECOS PAC ID: 1052756665 Enrollment ID: I20240305000972 |
| Provider Name | Angela Brew |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831481522 PECOS PAC ID: 4082050695 Enrollment ID: I20240306000262 |
| Provider Name | Pei-xian Patience Dong |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619033552 PECOS PAC ID: 9436595816 Enrollment ID: I20240307001853 |
| Provider Name | Wendell Scott Hammonds |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609073477 PECOS PAC ID: 9739525080 Enrollment ID: I20240309000546 |
| Provider Name | Nancy Thompson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255450615 PECOS PAC ID: 5193161446 Enrollment ID: I20240309000567 |
| Provider Name | Terri Lynne Lee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497046551 PECOS PAC ID: 3678900669 Enrollment ID: I20240311002676 |
| Provider Name | David Benner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669972543 PECOS PAC ID: 3173969227 Enrollment ID: I20240311003704 |
| Provider Name | Terry Womack |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568746972 PECOS PAC ID: 4587000641 Enrollment ID: I20240312000045 |
| Provider Name | Breanna M Sharp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174158190 PECOS PAC ID: 1850737958 Enrollment ID: I20240312001188 |
| Provider Name | Rhonda Faye Magnus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508015629 PECOS PAC ID: 4880030741 Enrollment ID: I20240313003729 |
| Provider Name | Mandy Sue Hull |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548271299 PECOS PAC ID: 8426495102 Enrollment ID: I20240318003268 |
| Provider Name | Brooke Elizabeth Shattuck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245800150 PECOS PAC ID: 1759728611 Enrollment ID: I20240327001762 |
| Provider Name | Rodney C. Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467561381 PECOS PAC ID: 4789686346 Enrollment ID: I20240327001980 |
| Provider Name | Amanda Dunn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275986853 PECOS PAC ID: 5193163566 Enrollment ID: I20240403004311 |
| Provider Name | Joseph Christopher Dismuke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194953315 PECOS PAC ID: 9032558416 Enrollment ID: I20240418000448 |
| Provider Name | Anna Gabrielle Macgregor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861134637 PECOS PAC ID: 9830539725 Enrollment ID: I20240425001299 |
| Provider Name | K'deshia Zhane Martin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871045674 PECOS PAC ID: 4385084060 Enrollment ID: I20240429001005 |
| Provider Name | Kristen Street |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508071887 PECOS PAC ID: 1052751211 Enrollment ID: I20240504000435 |
| Provider Name | Brady W Iba |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043894132 PECOS PAC ID: 2466893581 Enrollment ID: I20240507002825 |
| Provider Name | Valerie Jane Mitchell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780704833 PECOS PAC ID: 4981045028 Enrollment ID: I20240507003756 |
| Provider Name | Bethany Nicole Davis |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1326796707 PECOS PAC ID: 1658712708 Enrollment ID: I20240507004037 |
| Provider Name | Natasha L Webb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265579718 PECOS PAC ID: 5597106104 Enrollment ID: I20240514002771 |
| Provider Name | L Kristi Graham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376663138 PECOS PAC ID: 5294176558 Enrollment ID: I20240517000228 |
| Provider Name | Darla Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235436007 PECOS PAC ID: 0941644603 Enrollment ID: I20240528003863 |
| Provider Name | Desiree C Lyon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427685536 PECOS PAC ID: 3678915147 Enrollment ID: I20240529003024 |
| Provider Name | Callee Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548029473 PECOS PAC ID: 9931641917 Enrollment ID: I20240605002511 |
| Provider Name | Amanda Kaye Hughes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255099685 PECOS PAC ID: 0840732608 Enrollment ID: I20240607001448 |
| Provider Name | Chimezie C Okolocha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205575818 PECOS PAC ID: 3971949090 Enrollment ID: I20240608000164 |
| Provider Name | Selina Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427838671 PECOS PAC ID: 9537603170 Enrollment ID: I20240707000176 |
| Provider Name | Graciela C Howard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366789968 PECOS PAC ID: 2466998232 Enrollment ID: I20240729003019 |
| Provider Name | Kendell Elaine Clark |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811294176 PECOS PAC ID: 5294272084 Enrollment ID: I20240729004153 |
| Provider Name | Eric Harlan Eimers-mosier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679357529 PECOS PAC ID: 7416494422 Enrollment ID: I20240807002834 |
| Provider Name | Melissa Lynn Mertz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043506165 PECOS PAC ID: 3577000546 Enrollment ID: I20240808000557 |
| Provider Name | Yuisa Marie Perez Medero |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487397493 PECOS PAC ID: 3274071519 Enrollment ID: I20240816002862 |
| Provider Name | Erin Morgan Robinson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922703560 PECOS PAC ID: 4688112931 Enrollment ID: I20240816003624 |
| Provider Name | Karmen Ann Andrews |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689821209 PECOS PAC ID: 9537608245 Enrollment ID: I20240826004170 |
| Provider Name | Erik David Odom |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023770039 PECOS PAC ID: 2961941570 Enrollment ID: I20240827004367 |
| Provider Name | Jo Whitney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053759852 PECOS PAC ID: 4981144078 Enrollment ID: I20240904000443 |
| Provider Name | Ahmed Mohammed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649913401 PECOS PAC ID: 6507306560 Enrollment ID: I20240905002779 |
| Provider Name | Julie Lorraine Lesser |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457013104 PECOS PAC ID: 9931630449 Enrollment ID: I20241008000624 |
| Provider Name | Sierra Schupbach |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912660077 PECOS PAC ID: 6002341328 Enrollment ID: I20241123000428 |
| Provider Name | Abagail Detar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427887884 PECOS PAC ID: 6305372103 Enrollment ID: I20241203004027 |
| Provider Name | Lori Baker |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1285977561 PECOS PAC ID: 4385170109 Enrollment ID: I20241203004728 |
| Provider Name | Dean D.o. Bull |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487357935 PECOS PAC ID: 0840726600 Enrollment ID: I20241204001711 |
| Provider Name | Delma S Harding |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164710232 PECOS PAC ID: 2264969732 Enrollment ID: I20241221000010 |
| Provider Name | Shasta Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811503329 PECOS PAC ID: 4587002449 Enrollment ID: I20241227000321 |
| Provider Name | Lakin M Wolever |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952960957 PECOS PAC ID: 2668909839 Enrollment ID: I20241230001701 |
| Provider Name | Rehan Zafar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922629724 PECOS PAC ID: 3072039692 Enrollment ID: I20250428001559 |
J Carrick Carter Psyd Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1006 24th Ave Nw, Ste 100, Norman, OK 73069 Phone: 405-801-2840 Fax: 405-310-4520 | |
Maranda Greenfield, Lcsw Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1809 Oakmeadows Dr, Norman, OK 73071 Phone: 405-863-1194 | |
Debra Petry Smith, M.a., Lpc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 Mcgee Dr Ste 108, Norman, OK 73072 Phone: 918-894-2745 | |
Crossroads Youth And Family Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1650 W Tecumseh Rd, 500, Norman, OK 73069 Phone: 405-321-0240 | |
Micheline Witjenburg Psyd Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1225 W Main St, Suite 102, Norman, OK 73069 Phone: 405-292-1000 Fax: 405-310-4052 | |
Family Wellness Center Of Norman Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2760 Washington Dr Ste 110, Norman, OK 73069 Phone: 405-360-2827 Fax: 405-283-1124 | |
Spectrum My Way Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3351 Santa Rosa Ct, Norman, OK 73071 Phone: 405-204-2065 |