MILLENNIUM MEDICAL SERVICES, L.L.C. (NPI# 1922352475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922352475 |
| Entity Type | Organization |
| Organization Name | MILLENNIUM MEDICAL SERVICES, L.L.C. |
| Other Organization Name | TALIHINA CLINIC |
| Practice Address |
14367 Se Highway 63 Talihina OK 74571-5948 |
| Mailing Address |
3816 Shadowridge Dr Norman OK 73072-5308 |
| Practice Telephone | 8885737792 |
| Practice Fax Number | 8887538162 |
| Mailing Telephone | 8885737792 |
| Mailing Fax Number | 8887538162 |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2020-04-23 |
| Authorized Official Name | DR. WADE L HAMIL (CEO) |
| Authorized Official Telephone | 4056270276 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | Y |
| Parent Organization Name | MILLENNIUM MEDICAL SERVICES, L.L.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Talihina Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568897585 | Millennium Medical Services, L.L.C. | Counselor | 1212 Reynolds Ave, Poteau, OK 74953-4724 | 2013-09-10 |
| 1245286285 | Millennium Medical Services, L.L.C. | Counselor | 448 36th Ave Nw Ste 101, Norman, OK 73072-4743 | 2006-05-25 |
| 1295355840 | Millennium Medical Services, L.L.C. | Counselor | 503 S Central Ave, Idabel, OK 74745-6061 | 2020-04-23 |
| 1528614146 | Millennium Medical Services, L.L.C. | Counselor | 245 W Wilshire Blvd Ste A, Oklahoma City, OK 73116-7754 | 2019-08-11 |
| 1295128981 | Millennium Medical Services, L.L.C. | Counselor | 312 N Van Buren St, Enid, OK 73703-4500 | 2015-03-05 |
| 1013348846 | Millennium Medical Services, L.L.C. | Counselor | 221 W 3rd St, Hobart, OK 73651-3603 | 2013-12-04 |
| Street Address |
14367 SE HIGHWAY 63 |
| City | TALIHINA |
| State | OK |
| Zip Code | 74571-5948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679033914 | Megan Ann Louise Hall | Peer Specialist | 908 Dallas Street, Talihina, OK 74571 | 2019-03-22 |
| 1447736764 | Harper Ranch & Enterprises LLC | Nurse Practitioner | 308 Second St., Talihina, OK 74571 | 2018-07-19 |
| 1588161004 | Bailee Marie Mcconnell | Peer Specialist | 14476 Se 2022nd Rd, Talhina, OK 74571 | 2018-04-11 |
| 1932644002 | Laura Ashley Sanford | Family Medicine | 205 Dallas Street, Talihina Community Clinic, Talihina, OK 74571 | 2016-12-28 |
| 1003362583 | Tammy Serena Adams | Behavioral Analyst | 903 Dallas Street, Talihina, OK 74571 | 2016-08-25 |
| 1356735963 | Millennium Community | Case Management | 308 Veterans Street, Talihina, OK 74571 | 2015-03-20 |
| 1225449176 | Millenium | Case Management | 308 Veterans Ave, Talihina, OK 74571 | 2014-05-14 |
| 1366881013 | Tisha J Fitzgerald | Counselor | 508 Veterans, Talihina, OK 74571 | 2013-06-17 |
| 1295075406 | Millennium Community Service | Community/Behavioral Health | 53565 Williams Ave., Talihina, OK 74571 | 2013-02-25 |
| 1649548413 | Kimberly Stegall | Counselor | 501 Veterans Street, V, Talihina, OK 74571 | 2011-12-08 |
| Find all providers in zip 74571 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629014899 | Charles Don Vantuyl | Psychiatry & Neurology | 1 Choctaw Way, Talihina, OK 74571-2022 | 2006-06-22 |
| 1275506834 | James Thomas Howard | Psychiatry & Neurology | 1 Choctaw Way, Talihina, OK 74571-2022 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164062253 | Tabor Behavioral Health LLC | Psychiatry & Neurology | 2615 Ridgeway St, Ardmore, OK 73401-2901 | 2020-01-07 |
| 1134783863 | Sarah Thi Tran | Psychiatry & Neurology | 4444 E 41st St Ste B, Tulsa, OK 74135-2527 | 2019-04-29 |
| 1356828305 | Dr. Peteryne D. Miller, M.d. LLC | Psychiatry & Neurology | 4870 S Lewis Ave Ste 205, Tulsa, OK 74105-5153 | 2018-07-23 |
| 1457852659 | Mindful Psychiatry, PC | Psychiatry & Neurology | 5014 E 101st St Ste 200, Tulsa, OK 74137-5803 | 2018-02-22 |
| 1700385481 | Reeder Psychiatry Pllc | Psychiatry & Neurology | 2515 Nw 16th St, Oklahoma City, OK 73107-4839 | 2018-02-07 |
| 1245752617 | Irfan Ahmed | Psychiatry & Neurology | 900 E. Main St., Norman, OK 73070 | 2017-07-07 |
| 1568997401 | Erin Walling | Psychiatry & Neurology | 920 Stanton L Young Blvd Ste 3440, Oklahoma City, OK 73104-5036 | 2017-04-28 |
| 1992259501 | Tranquil Psychiatry Clinic,llc | Psychiatry & Neurology | 333 Nw 5th St, Apt. No. 1010, Oklahoma City, OK 73102-3080 | 2016-08-11 |
| 1053762807 | Daniel Pappas | Psychiatry & Neurology | 15225 Fairview Farm Rd., Edmond, OK 73013 | 2016-06-23 |
| 1679937197 | Geetika M Verma Md Plcc | Psychiatry & Neurology | 5100 N Brookline Ave Bldg Suite360, Oklahoma City, OK 73112-3623 | 2016-04-11 |
| 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.