PARKSIDE, INC. (NPI# 1548573348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548573348 |
| Entity Type | Organization |
| Organization Name | PARKSIDE, INC. |
| Other Organization Name | ADOLESCENT CHILD DAY TREATMENT |
| Practice Address |
1220 S Trenton Ave Tulsa OK 74120-5421 |
| Mailing Address |
1620 E 12th St Tulsa OK 74120-5407 |
| Practice Telephone | 9185822131 |
| Practice Fax Number | 9185888822 |
| Mailing Telephone | 9185822131 |
| Mailing Fax Number | 9185888822 |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2012-10-31 |
| Authorized Official Name | MRS. SAUNYA D. MOORE (CFO) |
| Authorized Official Telephone | 9185822131 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
2261 | OK | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | MEDICARE PROVIDER NUMBER | 374021 | 01 |
| OK | 100738360B | 05 |
| Other Name | Type Code |
|---|---|
| Adolescent Child Day Treatment | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346461688 | Parkside, Inc. | Psychiatric Residential Treatment Facility | 1619 E 13th St, Tulsa, OK 74120-5410 | 2007-05-02 |
| 1164643409 | Parkside, Inc. | Psychiatric Residential Treatment Facility | 1220 S Trenton Ave, Tulsa, OK 74120-5421 | 2007-05-02 |
| 1437370772 | Parkside, Inc. | Psychiatric Hospital | 1619 East 13th Street, Tulsa, OK 74120-5410 | 2007-05-02 |
| 1134750649 | Parkside, Inc. | Clinic/Center | 1239 S Trenton Ave, Tulsa, OK 74120-5420 | 2020-02-03 |
| 1750714721 | Parkside, Inc. | Psychiatric Hospital | 1619 E 13th St, Tulsa, OK 74120-5410 | 2013-08-14 |
| 1326396391 | Parkside, Inc. | Psychiatric Hospital | 1220 S Trenton Ave, Tulsa, OK 74120-5421 | 2012-08-24 |
| 1205135936 | Parkside, Inc. | Psychiatric Unit | 1220 S Trenton Ave, Tulsa, OK 74120-5421 | 2011-03-21 |
| 1356552111 | Parkside, Inc. | Clinic/Center | 1620 E 12th St, Tulsa, OK 74120-5407 | 2007-05-24 |
| 1851327464 | Parkside, Inc. | Clinic/Center | 1620 E 12th St, Tulsa, OK 74120-5407 | 2006-06-24 |
| Street Address |
1220 S TRENTON AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74120-5421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164643409 | Parkside, Inc. | Psychiatric Residential Treatment Facility | 1220 S Trenton Ave, Tulsa, OK 74120-5421 | 2007-05-02 |
| 1326396391 | Parkside, Inc. | Psychiatric Hospital | 1220 S Trenton Ave, Tulsa, OK 74120-5421 | 2012-08-24 |
| 1205135936 | Parkside, Inc. | Psychiatric Unit | 1220 S Trenton Ave, Tulsa, OK 74120-5421 | 2011-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144704321 | Quintella Delana Miller | Case Manager/Care Coordinator | 1043 E Easton St, Tulsa, OK 74120 | 2018-09-24 |
| 1689152092 | Charles Granger Jr. | Case Manager/Care Coordinator | 103 N Greenwood, Suite 320, Tulsa, OK 74120 | 2018-07-30 |
| 1174015598 | Debra Anne Beasley | Counselor | 1619 E. 13th St., Tulsa, OK 74120 | 2018-06-01 |
| 1649775701 | Cara Marie Cantu | Licensed Practical Nurse | 620 South Peoria, Tulsa, OK 74120 | 2018-03-29 |
| 1639558745 | Wei Te Li | Student in an Organized Health Care Education/Training Program | 1207 S Quaker Ave Apt 104, Tulsa, OK 74120 | 2015-05-21 |
| 1225434350 | Marcos Rivero | Community/Behavioral Health | 130 N. Greenwood, Suite 302, Tulsa, OK 74120 | 2014-11-18 |
| 1861742348 | Tamiika Jones | Social Worker | 1533 E 13th St, Apt B, Tulsa, OK 74120 | 2012-09-12 |
| 1730408097 | Teresa Lee Henshaw | Physical Therapist | 1125 S. Trenton, Hillcrest Medical Center- Kaiser Rehab. Center, Tulsa, OK 74120 | 2010-05-26 |
| 1194970384 | Kym Lynnette Lindsay | Speech-Language Pathologist | 1125 S Trenton Ave Fl 3, Tulsa, OK 74120 | 2008-12-01 |
| 1184872004 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Pediatrics | 619 S. Quincy Ave., Ouptch-laura Dester Shelter, Tulsa, OK 74120 | 2008-09-04 |
| Find all providers in zip 74120 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
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| 1578061578 | Life Mind, Pllc | Clinic/Center | 2624 E 22nd Pl, Tulsa, OK 74114-3131 | 2018-01-25 |
| 1851800825 | Seyva LLC | Clinic/Center | 8522 S 70th E Ave, Tulsa, OK 74133 | 2017-09-21 |
| 1801134929 | Therapy & Beyond of Oklahoma, LLC | Clinic/Center | 3311 E 46th St, Tulsa, OK 74135-2903 | 2013-01-24 |
| 1356552111 | Parkside, Inc. | Clinic/Center | 1620 E 12th St, Tulsa, OK 74120-5407 | 2007-05-24 |
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|---|---|---|---|---|
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| 1750942074 | Current Intervention Family Therapy Services | Clinic/Center | 2223 N Main St, Miami, OK 74354-1620 | 2019-06-26 |
| 1609431790 | New View Therapy | Clinic/Center | 3113 24th Ave Se, Norman, OK 73071-1742 | 2019-05-05 |
| 1427551860 | Bold Hearts and Sound Minds LLC | Clinic/Center | 1601 S State St Ste 375, Edmond, OK 73013-3626 | 2018-03-12 |
| 1427557891 | G Parks Phd Pllc | Clinic/Center | 6608 N Western Ave # 453, Oklahoma City, OK 73116-7326 | 2018-02-12 |
| 1144739657 | Healing Hearts Counseling & Consulting, L.L.C. | Clinic/Center | 1212 East Kirk, Hugo, OK 74743 | 2017-09-27 |
| 1386169969 | Big Love Counseling and Wellness | Clinic/Center | 1210 Roosevelt St Ste 220, Edmond, OK 73034-5176 | 2017-08-04 |
| 1891871489 | Positive Changes LLC | Clinic/Center | 744 Se 25th St, Oklahoma City, OK 73129-4843 | 2006-10-27 |
| 1194326637 | Kayla Wright Counseling, P.l.l.c. | Clinic/Center | 1901 N Moore Ave Ste 15, Moore, OK 73160-3612 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
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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.