A Healing Connection Psychological

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1060 Issued in OK

Legal business name

A HEALING CONNECTION PSYCHOLOGICAL

Practice address

12906 E 106TH St N
Owasso, OK 74055

Phone

(918) 376-4552

Fax

(918) 376-4586

NPI assigned

Apr 30, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Wood, PHDNPI 1043454903

Title

PHD and Owner

Phone

(918) 376-4552

Specialties & licenses 1

Addresses

Other names 1

• A Healing Connection Psychological Services PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Sheader Wood, PH.D.

  • Psychologist
  • Owasso, OK
  • NPI 1043454903

  OK

  Medicare reassignment Authorized official
• Suzanne E Gauldin, LD/RD

  • Metabolic Nutrition Registered Dietitian
  • Owasso, OK
  • NPI 1104191931
  NPD
• Brian C. Ess, PH.D.

  • Counseling Psychologist
  • Owasso, OK
  • NPI 1972636512
  NPD (past)
• Leslie Rose Riley, PSY.D.

  • Health Service Psychologist
  • Owasso, OK
  • NPI 1881656494
  NPD (past)
• Carrie L. Winterowd, PH.D.

  • Counseling Psychologist
  • Stillwater, OK
  • NPI 1649396649
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529625600000",
    "number": "1780172320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12906 E 106TH ST N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740555909",
            "telephone_number": "918-376-4552",
            "fax_number": "918-376-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12906 E 106TH ST N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "74055",
            "telephone_number": "918-376-4552",
            "fax_number": "918-376-4586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A HEALING CONNECTION PSYCHOLOGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-06-22",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PHD AND OWNER",
        "authorized_official_telephone_number": "918-376-4552",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "OK",
            "license": "1060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Healing Connection Psychological Services PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Angela Marie Abbott, APRN, FNP-C
• Nora Abdelghani
• Darian Abram

• All providers in Owasso, OK
• Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.