ELITE PSYCHIATRIC SERVICES LLC (NPI# 1619261377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619261377 |
| Entity Type | Organization |
| Organization Name | ELITE PSYCHIATRIC SERVICES LLC |
| Practice Address |
403 N Clarence Nash Blvd Watonga OK 73772-3636 |
| Mailing Address |
Po Box 658 Watonga OK 73772-0658 |
| Practice Telephone | 5806235433 |
| Practice Fax Number | 5806232409 |
| Mailing Telephone | 5804783645 |
| Mailing Fax Number | 5806232409 |
| Enumeration Date | 2011-05-30 |
| Last Update Date | 2011-05-30 |
| Authorized Official Name | MELISSA D SANKEY (OWNER) |
| Authorized Official Telephone | 5804783645 |
| Authorized Official Credential | M.ED. LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | OK | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 1225065006 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | ELITE PSYCHIATRIC SERVICES LLC | 717c Highway 70 East, Kingston, OK 73439 |
| Street Address |
403 N CLARENCE NASH BLVD |
| City | WATONGA |
| State | OK |
| Zip Code | 73772-3636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811123334 | Maria Ruth Slay | Counselor | 403 N Clarence Nash Blvd, Watonga, OK 73772-3636 | 2009-06-10 |
| 1477069912 | Renee Madden | Case Manager/Care Coordinator | 403 N Clarence Nash Blvd, Watonga, OK 73772-3636 | 2017-12-20 |
| 1134465891 | Yco West, Inc | Clinic/Center | 403 N Clarence Nash Blvd, Watonga, OK 73772-3636 | 2012-12-27 |
| 1083973416 | Steve N Weber | Clinic/Center | 403 N Clarence Nash Blvd, Watonga, OK 73772-3636 | 2012-05-04 |
| 1043596174 | William Gault | Counselor | 403 N Clarence Nash Blvd, Watonga, OK 73772-3636 | 2011-11-03 |
| 1710260328 | Kay Weber | Counselor | 403 N Clarence Nash Blvd, Watonga, OK 73772-0000 | 2011-09-21 |
| 1104113083 | Stephanie Diane Goldman | Psychologist | 403 N Clarence Nash Blvd, Watonga, OK 73772-3636 | 2011-06-29 |
| 1134413503 | Dana Marie Clark | Counselor | 403 N Clarence Nash Blvd, Watonga, OK 73772-3636 | 2011-06-02 |
| 1033430574 | Patrica Lou Thompson | Counselor | 403 N Clarence Nash Blvd, Watonga, OK 73772-3636 | 2010-06-18 |
| 1013236066 | Elite Counseling LLC | Community/Behavioral Health | 403 N Clarence Nash Blvd, Box 658, Watonga, OK 73772-3636 | 2010-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225546815 | Sabrina Marie Yoder | Case Manager/Care Coordinator | 115 East 1st Street, Watonga, Ok, OK 73772 | 2018-01-17 |
| 1285150847 | Miriam Vaughan | Community Health Worker | 115 1/2 E 1st St, Watonga, OK 73772 | 2017-08-16 |
| 1053697649 | Marlin R Giles | Community/Behavioral Health | 403 Clarence Nash, Watonga, OK 73772 | 2011-10-26 |
| 1174811681 | Matthew Giles | Community/Behavioral Health | 1114 Villa Dr., Watonga, OK 73772 | 2011-07-18 |
| 1003127937 | Linda Jolane Scott | Counselor | 115 E. 1st Street, Watonga, OK 73772 | 2010-06-25 |
| 1063686764 | Brianna Auge | Counselor | 214 'a' Street, Watonga, OK 73772 | 2008-04-15 |
| 1770778417 | Jaycif A Justice | Social Worker | 216 W 'a' St., Watonga, OK 73772 | 2007-09-06 |
| 1609938984 | Flauryse M Baguidy | Dentist | Rr 1 Hwy 281 South, Usphs Ihs Watonga Health Center, Watonga, OK 73772 | 2006-12-14 |
| 1437603768 | City of Watonga | Ambulance | 305 W Main, Watonga, OK 73772 | 2016-08-03 |
| 1982976742 | Richard Zielinski Md, Pllc | Psychiatry & Neurology | 712 W 3rd St, Watonga, OK 73772 | 2012-02-08 |
| Find all providers in zip 73772 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053697649 | Marlin R Giles | Community/Behavioral Health | 403 Clarence Nash, Watonga, OK 73772 | 2011-10-26 |
| 1174811681 | Matthew Giles | Community/Behavioral Health | 1114 Villa Dr., Watonga, OK 73772 | 2011-07-18 |
| 1013236066 | Elite Counseling LLC | Community/Behavioral Health | 403 N Clarence Nash Blvd, Box 658, Watonga, OK 73772-3636 | 2010-05-28 |
| 1619182177 | Oklahoma Mental Health Council | Community/Behavioral Health | 216 W A St, Watonga, OK 73772-4208 | 2007-05-10 |
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| 1235754458 | New Life Counseling Center | Community/Behavioral Health | 1206 N Hwy 81, Duncan, OK 73533-1790 | 2020-06-12 |
| 1770108946 | Meadow Hazelhoff Counseling, LLC | Community/Behavioral Health | 9524 Conners Way, Mcloud, OK 74851-8668 | 2020-06-12 |
| 1407477920 | Keetoowah Economic Development | Community/Behavioral Health | 16414 W 760 Rd, Tahlequah, OK 74464-1675 | 2020-05-06 |
| 1992336481 | Share More Ctc, LLC | Community/Behavioral Health | 2000 N Broadway St Ste B, Moore, OK 73160-4416 | 2020-02-03 |
| 1356981138 | Grand Lake Mental Health Center Inc | Community/Behavioral Health | 2225 N Union, Ponca City, OK 74601-1536 | 2020-01-09 |
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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.