OLIVE BRANCH PSYCHIATRY (NPI# 1528512183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528512183 |
| Entity Type | Organization |
| Organization Name | OLIVE BRANCH PSYCHIATRY |
| Practice Address |
1900 E 15th St Ste C Edmond OK 73013 |
| Mailing Address |
3000 Huntleigh Dr Oklahoma City OK 73120-2210 |
| Practice Telephone | 4058186686 |
| Mailing Telephone | 4056736690 |
| Mailing Fax Number | 4055437359 |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2018-11-17 |
| Authorized Official Name | WILLIAM OLIVA (MANAGEMENT) |
| Authorized Official Telephone | 4056736690 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3000 Huntleigh Dr, Oklahoma City, OK 731202210 | 4056736690 | 4055437359 |
| Street Address |
1900 E 15TH ST STE C |
| City | EDMOND |
| State | OK |
| Zip Code | 73013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487646 | Balance Psychiatry & Wellness Pllc | Psychiatry & Neurology | 1218 E 9th St Ste 4, Edmond, OK 73034-5796 | 2020-04-29 |
| 1942592886 | Stanbro Healthcare Group LLC | Psychiatry & Neurology | 2000 E 15th St, Suite 400-a, Edmond, OK 73013-6697 | 2011-05-11 |
| 1659339224 | Peter B Stanbro | Psychiatry & Neurology | 2000 E 15th St, Suite 400-a, Edmond, OK 73013-6697 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316176340 | Andrew Hyun Liew | Psychiatry & Neurology | 4444 E 41st St Fl 3, Tulsa, OK 74135-2527 | 2009-07-13 |
| 1285775759 | Sridevi Nagumalli | Psychiatry & Neurology | 705 Scottsbluff, Norman, OK 73072-4835 | 2007-02-09 |
| 1851475198 | Sylvia J Turner | Psychiatry & Neurology | Dept. of The Army; Usameddac, Attn: Mcua-cmh: Dr.sylvia Turner, Fort Sill, OK 73505-6300 | 2006-10-24 |
| 1508963406 | Craig Steven Tutton | Psychiatry & Neurology | 1212 Merrick Drive, Ardmore, OK 73401 | 2006-09-20 |
| 1609980937 | Craig S Tutton Md, Inc PC | Psychiatry & Neurology | 1212 Merrick Dr, Ardmore, OK 73401-1824 | 2006-08-17 |
| 1285640102 | Chariny Michelle Herring | Psychiatry & Neurology | 2530 E 71st St Ste B, Tulsa, OK 74136-5577 | 2006-07-31 |
| 1235166364 | Michelle Marie Holloway | Psychiatry & Neurology | 2129 Sw 59th Street, Oklahoma City, OK 73159-7024 | 2006-06-26 |
| 1366427478 | Robyn Cowperthwaite | Psychiatry & Neurology | 4200 W Memorial Rd Ste 503, Oklahoma City, OK 73120-8305 | 2005-12-12 |
| 1225022924 | Linda K Ramer | Psychiatry & Neurology | 2601 Spencer Rd, Spencer, OK 73084-3649 | 2005-09-08 |
| 1033103304 | Ethan D Lindsey | Psychiatry & Neurology | 1117 Nw 50th St, Oklahoma City, OK 73118-4401 | 2005-09-01 |
| 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.