TULSA FAMILY PSYCHIATRY & WELLNESS, INC (NPI# 1790246619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790246619 |
| Entity Type | Organization |
| Organization Name | TULSA FAMILY PSYCHIATRY & WELLNESS, INC |
| Practice Address |
2530 E 71st St Ste B Tulsa OK 74136-5577 |
| Practice Telephone | 9182689578 |
| Practice Fax Number | 9184712854 |
| Mailing Telephone | 9182689578 |
| Mailing Fax Number | 9184712854 |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2020-09-01 |
| Authorized Official Name | SCOTT M FISHER (CEO) |
| Authorized Official Telephone | 9182689578 |
| Authorized Official Credential | MHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | NPI | 1285640102 | 01 |
| OK | 200001630A | 05 |
| Street Address |
2530 E 71ST ST STE B |
| City | TULSA |
| State | OK |
| Zip Code | 74136-5577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285640102 | Chariny Michelle Herring | Psychiatry & Neurology | 2530 E 71st St Ste B, Tulsa, OK 74136-5577 | 2006-07-31 |
| 1740816412 | Osu Center for Health Sciences | Clinic/Center | 2530 E 71st St Ste B, Tulsa, OK 74136-5577 | 2020-03-13 |
| 1093017204 | Sarah E Horton | Nurse Practitioner | 2530 E 71st St Ste B, Tulsa, OK 74136-5577 | 2010-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520883 | Esmeralda Rosales | Behavior Technician | 7306 S. Yale Ave, Tulsa, OK 74136 | 2020-05-26 |
| 1851939631 | Kenneth Aaron Pohl | Behavior Technician | 7107 S. Braden Ave. Suite 195, Tulsa, OK 74136 | 2019-12-12 |
| 1578109195 | Brett Ray Weaver | Chiropractor | Kelly Bldg Ste 106, 6565 S Yale Ave, Tulsa, OK 74136 | 2019-11-19 |
| 1477194488 | Adhd and Mood Center of Oklahoma | Clinic/Center | 6565 South Yale Ave, Suite 706, Tulsa, OK 74136 | 2019-10-01 |
| 1093272510 | Whitney Christine Pilkenton | Registered Nurse | 6161 S. Yale Ave., Tulsa, OK 74136 | 2019-02-21 |
| 1538639190 | Osu Center for Health Sciences | Clinic/Center | 6465 S. Yale Ave. Suite 514, Tulsa, OK 74136 | 2018-11-27 |
| 1043786304 | Saint Francis Hospital, Inc. | Hospice Care, Community Based | 6600 South Yale Ave Suite 350, Tulsa, OK 74136 | 2018-10-15 |
| 1891282877 | Premier Rheumatology of Oklahoma | Internal Medicine | 6114 E. 61st Street, Tulsa, OK 74136 | 2018-04-16 |
| 1679092175 | Grace Eloise Evans | Counselor | 6655 S. Yale Ave, Tulsa, OK 74136 | 2017-09-15 |
| 1598283756 | David Oladipo Abioye | Counselor | 7110 S Utica Avenue, Suite 613, Tulsa, OK 74136 | 2017-09-07 |
| Find all providers in zip 74136 | ||||
| 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 |
|---|---|---|---|---|
| 1316176340 | Andrew Hyun Liew | Psychiatry & Neurology | 4444 E 41st St Fl 3, Tulsa, OK 74135-2527 | 2009-07-13 |
| 1285640102 | Chariny Michelle Herring | Psychiatry & Neurology | 2530 E 71st St Ste B, Tulsa, OK 74136-5577 | 2006-07-31 |
| 1053708701 | Hilary Redemann | Psychiatry & Neurology | 4444 E 41st St, Tulsa, OK 74135-2527 | 2015-04-21 |
| 1386064988 | Ranelle Monterry Bracy-lewis | Psychiatry & Neurology | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2014-04-22 |
| 1376845578 | Capes Clinic, LLC | Psychiatry & Neurology | 5350 E 46th St, Suite 110, Tulsa, OK 74135-6612 | 2010-11-22 |
| 1992898209 | David L Shadid Do Inc | Psychiatry & Neurology | 4612 S Harvard Ave, Ste A, Tulsa, OK 74135-2908 | 2006-10-02 |
| 1346342664 | Dean E. Martin, M.d., PC | Psychiatry & Neurology | 2121 S Columbia Ave, Suite 301, Tulsa, OK 74114-3505 | 2006-09-05 |
| 1336251990 | Dion Lapoint Owens | Psychiatry & Neurology | 6262 S Sheridan Rd, Tulsa, OK 74133-4055 | 2006-08-31 |
| 1154338549 | Dean Erwin Martin | Psychiatry & Neurology | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2006-08-01 |
| 1679544340 | Khalil M. Saliba | Psychiatry & Neurology | 6655 S Yale Ave, Laureate Psychiatric Clinic and Hospital, Tulsa, OK 74136-3326 | 2006-01-30 |
| 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.