SOUTHEASTERN PSYCHIATRIC SERVICES (NPI# 1114302692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114302692 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN PSYCHIATRIC SERVICES |
| Practice Address |
100 S Main St Suite B Mcalester OK 74501-5369 |
| Practice Telephone | 9184233700 |
| Mailing Telephone | 9184233700 |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2015-07-24 |
| Authorized Official Name | DR. RICHARD BOWDEN (OWNER) |
| Authorized Official Telephone | 9184233700 |
| Authorized Official Credential | M.D, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | R0058049 | OK | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100747990A | 05 |
| Street Address |
100 S MAIN ST SUITE B |
| City | MCALESTER |
| State | OK |
| Zip Code | 74501-5369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154734911 | Melanie Marie Rogers | Counselor | 100 S Main St, Suite B, Mcalester, OK 74501-5369 | 2014-06-09 |
| 1972841864 | Erika Lee Ruegamer | Counselor | 100 S Main St, Suite B, Mcalester, OK 74501-5369 | 2013-01-28 |
| 1265714919 | Morgan Christine Saunier | Counselor | 100 S Main St, Suite B, Mcalester, OK 74501-5369 | 2011-09-19 |
| 1710299896 | Gayle Mcdonald | Counselor | 100 S Main St, Suite B, Mcalester, OK 74501-5369 | 2010-07-06 |
| 1356660211 | Karen Dejon Bowden | Registered Nurse | 100 S Main St, Suite B, Mcalester, OK 74501-5369 | 2010-05-18 |
| 1598083172 | Kelly Sue Andrzejczyk-beatty | Psychiatry & Neurology | 100 S Main St, Mcalester, OK 74501-5369 | 2010-05-06 |
| 1497072771 | Tiffany Michelle Boatright | Counselor | 100 S Main St, Suite B, Mcalester, OK 74501-5369 | 2010-04-27 |
| 1285777383 | Mary Annette Dunagan | Physician Assistant | 100 S Main St, #b, Mcalester, OK 74501-5369 | 2007-02-15 |
| 1013946623 | Tammy Kay Mahoney | Counselor | 100 S Main St, Mcalester, OK 74501-5364 | 2006-07-03 |
| 1730118357 | Vicki S Thomas | Counselor | 100 S Main St, Mcalester, OK 74501-5364 | 2006-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371466 | Belfair of Mcalester LLC | Assisted Living Facility | 802 Windsong Way, Mcalester, OK 74501 | 2019-11-22 |
| 1912425018 | Jennifer Bird | Case Manager/Care Coordinator | 34 Harpoon Dr, Mcalester, OK 74501 | 2017-09-08 |
| 1073033502 | Natalie Aline Kitchell | Case Manager/Care Coordinator | 1303 Hickory Bend, Mcalester, OK 74501 | 2017-06-26 |
| 1265964308 | Phoenix Counseling and Assessment Center, Inc. | Community/Behavioral Health | 32 E Cherokee, Suite 104, Mcalester, OK 74501 | 2017-03-29 |
| 1215302799 | Christine Herron | Physical Therapy Assistant | 1029 E. Washington Ave, Mcalester, OK 74501 | 2015-12-09 |
| 1437538212 | Lauren White | Speech-Language Pathologist | 205 South 2nd, Mcalester, OK 74501 | 2015-05-26 |
| 1316344096 | Ashley Brooke Monks | Speech-Language Pathologist | 557 Broken Feather Lane, Mcalester, OK 74501 | 2014-11-25 |
| 1821407644 | William Joseph Kinderknecht | Family Medicine | 4 E. Clark Bass Blvd., Suite 301a, Mcalester, OK 74501 | 2014-08-06 |
| 1467795153 | Kensey Mckay Holman | Occupational Therapist | 903 E Monroe Ave Ste 200, Mcalester, OK 74501 | 2013-04-01 |
| 1821334418 | Delors J Simmons | Counselor | 600 North D St, Mcalester, OK 74501 | 2012-12-31 |
| Find all providers in zip 74501 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912512161 | Caroline M Cates | Nursing Care | 38035 W 345th St S, Bristow, OK 74010-4982 | 2020-09-14 |
| 1881070126 | Janice Lee Pack | Nursing Care | 8234 Highway 9, Wetumka, OK 74883-9529 | 2015-08-10 |
| 1528444841 | Kristin Camelle Hare | Nursing Care | 11245 Wilson Rd, Trailer 24, Henryetta, OK 74437-1604 | 2015-08-10 |
| 1649688391 | Outreach Health Services of Oklahoma, LLC | Nursing Care | 1302b Sw Lee Blvd, Lawton, OK 73501-5610 | 2014-07-25 |
| 1811232127 | Tickled Pink Foot Care LLC | Nursing Care | 1491 Ash Holw, Catoosa, OK 74015-2201 | 2012-11-28 |
| 1821303090 | Jo A Hughes | Nursing Care | 705 West Main, Tishomingo, OK 73460 | 2010-08-12 |
| 1831332824 | Legend At Council Road | Nursing Care | 11320 N Council Rd, Oklahoma City, OK 73162-2517 | 2009-04-07 |
| 1417178807 | Health Solutions Inc | Nursing Care | 1408 S Umbrella Ave, Broken Arrow, OK 74012-4510 | 2007-05-01 |
| 1477601326 | Res-care Oklahoma, Inc. | Nursing Care | 7508 Melrose Ln, Oklahoma City, OK 73127-5143 | 2007-01-08 |
| 1689748253 | Weleetka Public Schools | Nursing Care | 302 E 6th Street, Weleetka, OK 74880-0278 | 2006-11-17 |
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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.