PSYCHIATRIC HEALTH CORPORATION (NPI# 1639343650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639343650 |
| Entity Type | Organization |
| Organization Name | PSYCHIATRIC HEALTH CORPORATION |
| Other Organization Name | HENNESSEE & ASSOCIATES |
| Practice Address |
10101 S Pennsylvania Ave Suite A Oklahoma City OK 73159-6929 |
| Mailing Address |
Po Box 891868 Oklahoma City OK 73189-1868 |
| Practice Telephone | 4057593880 |
| Practice Fax Number | 4057593882 |
| Mailing Telephone | 4057593880 |
| Mailing Fax Number | 4057593882 |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |
| Authorized Official Name | KEVIN LEE ROBINSON (OPERATIONS MANAGER) |
| Authorized Official Telephone | 4057593880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
18494 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200030820A | 05 | |
| OK | MEDICARE GROUP NUMBER | 900522056 | 01 |
| Other Name | Type Code |
|---|---|
| Hennessee & Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831511518 | Psychiatric Health Corporation | Psychiatry & Neurology | 3224 Sw 119th St, Suite A, Oklahoma City, OK 73170-4548 | 2014-01-14 |
| Street Address |
10101 S PENNSYLVANIA AVE SUITE A |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73159-6929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962458059 | Comfort Living Services, Inc. | Home Health | 10101 S Pennsylvania Ave, Suite B, Oklahoma City, OK 73159-6929 | 2006-05-26 |
| 1760568976 | Millenium Medical Services | Social Worker | 10101 S Pennsylvania Ave, Oklahoma City, OK 73159-6929 | 2006-10-31 |
| 1396853370 | Cheryl Rae Wright | Social Worker | 10101 S Pennsylvania Ave, Suite J, Oklahoma City, OK 73159-6929 | 2006-08-29 |
| 1548206592 | Susan R Shapiro | Social Worker | 10101 S Pennsylvania Ave, Suite J, Oklahoma City, OK 73159-6929 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849528 | Mel Vision LLC | Optometrist | 1413 W Interstate 240 Service Rd, Suite E, Oklahoma City, OK 73159 | 2020-10-20 |
| 1053959247 | Phillip J Elassal Dds Pllc | Clinic/Center | 1601 Sw 89th Street #g500, Oklahoma City, OK 73159 | 2019-12-18 |
| 1629573407 | Carrie Lynn Sanchez | Case Manager/Care Coordinator | 2604 Sw 92nd Street, Oklahoma City, OK 73159 | 2018-03-26 |
| 1407368038 | Deborah Dorton | Psychologist | Okc Va Hcs (111a), 921 Ne 13th St, Oklahoma City, OK 73159 | 2017-11-06 |
| 1366969933 | Matthew Lewis Hearne | Case Manager/Care Coordinator | 7504 S Country Club Dr, Apt 105, Oklahoma City, OK 73159 | 2017-08-24 |
| 1043766405 | Pro Hearing, LLC | Clinic/Center | 10404 S Pennsylvania Ave, Oklahoma City, OK 73159 | 2016-08-26 |
| 1952764169 | Doc LLC | Orthopaedic Surgery | 3130 Sw 89th St Ste 200e, Oklahoma City, OK 73159 | 2016-04-04 |
| 1235511288 | Anusha Koneru | Dentist | 1610 W Interstate 240 Service Road, Oklahoma City, OK 73159 | 2015-06-26 |
| 1114347069 | Crystal A Dockery | Family Medicine | 3212 Sw 89th St Ste 100, Oklahoma City, OK 73159 | 2014-04-18 |
| 1790121440 | Kimberly Anne Dyer | Occupational Therapy Assistant | 5725 S Ross, Oklahoma City, OK 73159 | 2013-05-21 |
| Find all providers in zip 73159 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265514715 | Donna Fenton Gibson | Psychiatry & Neurology | 2501 Cummings Dr, Oklahoma City, OK 73107-2108 | 2006-10-20 |
| 1851611602 | Audra Michelle Yadack | Psychiatry & Neurology | 4601 N Classen Blvd, Oklahoma City, OK 73118-4815 | 2010-06-03 |
| 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 |
| 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 |
| City | OKLAHOMA CITY |
| Zip Code | 73159 |
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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.