DR. STEPHEN FORREST SHOEMAKER PH.D. NPI 1366462996

NPI Information

NPI: 1366462996
Provider Name: DR. STEPHEN FORREST SHOEMAKER, PH.D.
Classification: Psychologist - 103TB0200X
Entity Type: Individual

Specialization: Cognitive & Behavioral

PECOS Registration: Yes

Address:
550 S PEORIA AVE
TULSA, OK
ZIP 74120
Phone: (918) 588-1900
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DR. Stephen Forrest Shoemaker, PH.D. is a cognitive and behavioral psychologist in Tulsa, OK. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. DR. Stephen Forrest Shoemaker, PH.D. NPI is 1366462996. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

550 S PEORIA AVE
TULSA, OK
ZIP 74120-820
Phone: (918) 588-1900
Fax: (918) 582-6405

The NPI 1366462996 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 7/19/2006 and was last updated on 9/2/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TB0200X	Psychologist	Cognitive & Behavioral	654	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100840490A	MEDICAID	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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