KETCEN OF TULSA LLC (NPI# 1902367618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902367618 |
| Entity Type | Organization |
| Organization Name | KETCEN OF TULSA LLC |
| Practice Address |
9840 E 81st St Ste 100 Tulsa OK 74133-4583 |
| Mailing Address |
10010 E 81st St Ste 100 Tulsa OK 74133-4558 |
| Practice Telephone | 9188728162 |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2019-03-26 |
| Authorized Official Name | KRISTY PHILLIPS (DIRECTOR OF BUSINESS AFFAIRS) |
| Authorized Official Telephone | 9188939240 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
9840 E 81ST ST STE 100 |
| City | TULSA |
| State | OK |
| Zip Code | 74133-4583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013021039 | Wayne Nolan Wyatt | Dentist | 9840 E 81st St Ste 100, Tulsa, OK 74133-4583 | 2006-08-18 |
| 1699025122 | Wayne N. Wyatt, Dds, Ms, PC | Dentist | 9840 E 81st St Ste 100, Tulsa, OK 74133-4583 | 2012-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932725058 | Economy Pharmacy | Pharmacy | 10120 E 91st, Tulsa, OK 74133 | 2020-06-24 |
| 1710539424 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 9310 East 91st Street, Tulsa, OK 74133 | 2019-07-12 |
| 1003382060 | Carefirst Pharmacy Tulsa, Inc. | Pharmacy | 6214 S. Sheridan Rd, Tulsa, OK 74133 | 2018-10-17 |
| 1003397332 | Adekemi Taiwo | Nurse Practitioner | Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 | 2018-08-24 |
| 1346732013 | Lauren Nichols | Dentist | 7707 E 111th St Ste 105, Tulsa, OK 74133 | 2018-05-30 |
| 1699264259 | Courtney N Johnson, Pllc | Dentist | 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 | 2018-05-08 |
| 1417464199 | Tulsa Medical and Orthopedic Center PC | Family Medicine | 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 | 2018-01-04 |
| 1013421023 | Susan C. Willard, Do, Pllc | Family Medicine | 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 | 2017-11-29 |
| 1851800825 | Seyva LLC | Clinic/Center | 8522 S 70th E Ave, Tulsa, OK 74133 | 2017-09-21 |
| 1477072031 | Amanda Dawn Long | Registered Nurse | 10507 E 91st St Ste 310, Tulsa, OK 74133 | 2017-09-14 |
| Find all providers in zip 74133 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003304254 | Serenity Counseling LLC | Clinic/Center | 5103 S Sheridan Rd # 323, Tulsa, OK 74145-7627 | 2018-04-24 |
| 1912337643 | Latanya Dodd | Clinic/Center | 1540 E 68th Pl, Tulsa, OK 74136 | 2013-11-15 |
| 1679764807 | Riverside Counseling Services | Clinic/Center | 5272 S Lewis Ave Ste 250, Tulsa, OK 74105-6564 | 2007-08-05 |
| 1396373064 | Sublime Therapy Group LLC | Clinic/Center | 4815 S Harvard Ave Ste 480, Tulsa, OK 74135-3050 | 2020-03-30 |
| 1134750649 | Parkside, Inc. | Clinic/Center | 1239 S Trenton Ave, Tulsa, OK 74120-5420 | 2020-02-03 |
| 1841763406 | J Ross Inc. | Clinic/Center | 5215 E 71st St, Tulsa, OK 74136-6341 | 2019-01-07 |
| 1194297341 | Landmark Recovery Outpatient Services, LLC | Clinic/Center | 1805 E 15th St, Tulsa, OK 74104-4610 | 2018-12-28 |
| 1093234361 | Joseph Nowicki | Clinic/Center | 2323 S Harvard Ave, Tulsa, OK 74114-3301 | 2017-09-18 |
| 1740621549 | Peter Alan Rao, M.d., Pllc | Clinic/Center | 5544 S Lewis Ave, Suite 600, Tulsa, OK 74105-7105 | 2013-07-10 |
| 1083740351 | Alternative Opportunities Inc. | Clinic/Center | 5525 E 51st St, Suite #400, Tulsa, OK 74135-7461 | 2007-02-23 |
| Find all providers in TULSA | ||||
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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.