SPECTRUM BEHAVIORAL HEALTH GROUP - OKC, LLC (NPI# 1962911255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962911255 |
| Entity Type | Organization |
| Organization Name | SPECTRUM BEHAVIORAL HEALTH GROUP - OKC, LLC |
| Other Organization Name | PEAK BEHAVIORAL HEALTH |
| Practice Address |
2405 Palmer Cir Ste 100 Norman OK 73069-6351 |
| Mailing Address |
1006 24th Ave Nw Ste 100 Norman OK 73069-6344 |
| Practice Telephone | 4055617928 |
| Practice Fax Number | 4053109944 |
| Mailing Telephone | 4052136402 |
| Mailing Fax Number | 4053109944 |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2020-05-18 |
| Authorized Official Name | DR. BRYAN JOSEPH RAY (CEO/CLINICAL DIRECTOR) |
| Authorized Official Telephone | 4055617928 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Peak Behavioral Health | Doing Business As Name - Organization |
| Street Address |
2405 PALMER CIR STE 100 |
| City | NORMAN |
| State | OK |
| Zip Code | 73069-6351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417100181 | Bryan Joseph Ray | Psychologist | 2405 Palmer Cir Ste 100, Norman, OK 73069-6351 | 2008-10-28 |
| 1477166346 | Lindsay Nicole Cunningham | Behavior Technician | 2405 Palmer Cir Ste 100, Norman, OK 73069-6351 | 2020-08-28 |
| 1306457700 | Bayley Wright | Behavior Technician | 2405 Palmer Cir Ste 100, Norman, OK 73069-6351 | 2020-08-11 |
| 1588273155 | Susan Sherwood | Behavior Technician | 2405 Palmer Cir Ste 100, Norman, OK 73069-6351 | 2020-07-29 |
| 1508475310 | Jazmin Chavez | Behavior Technician | 2405 Palmer Cir Ste 100, Norman, OK 73069-6351 | 2020-07-28 |
| 1912522632 | Brittany Gourley | Behavior Technician | 2405 Palmer Cir Ste 100, Norman, OK 73069-6351 | 2020-06-09 |
| 1013565738 | Katherine Elizabeth Magnie | Behavioral Analyst | 2405 Palmer Cir Ste 100, Norman, OK 73069-6351 | 2019-08-27 |
| 1023453560 | Laura Elizabeth Stout | Dietitian, Registered | 2405 Palmer Cir Ste 100, Norman, OK 73069-6351 | 2013-05-09 |
| 1063767721 | Meredith Albin | Behavioral Analyst | 2405 Palmer Cir Ste 100, Norman, OK 73069-6351 | 2012-07-18 |
| 1104053909 | Leigh D Porterfield | Speech-Language Pathologist | 2405 Palmer Cir Ste 100, Norman, OK 73069-6351 | 2009-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739764 | Pinnacle Family Health Care | Family Medicine | 2781 Washington Drive, Suite 101, Norman, OK 73069 | 2020-10-26 |
| 1063030088 | Kristal Ladawn Vasquez | Nurse Practitioner | 4019 North Flood Ave, Normam, OK 73069 | 2020-07-07 |
| 1841828290 | Cheryl Renee Stoepker | Nurse Practitioner | 3441 24th Ave Nw, Norman, OK 73069 | 2020-03-31 |
| 1427689215 | Bodyworx Primary Care, LLC | Nurse Practitioner | 4019 N Flood Ave, Norman, OK 73069 | 2020-01-30 |
| 1528539376 | Monika Potdar | Pharmacist | 2550 Mount Williams Dr, Norman, OK 73069 | 2018-12-05 |
| 1861962193 | Bethany Spring Browne | Physician Assistant | 209 Hal Muldrow Dr, Apt 7, Norman, OK 73069 | 2018-11-29 |
| 1528536109 | Summit Health and Wellness Center LLC | Counselor | 2770 Washington Dr, Suite 100, Norman, OK 73069 | 2018-11-13 |
| 1386121960 | Sarah Lawhead | Case Manager/Care Coordinator | 525 Dakota St, Norman, OK 73069 | 2018-07-25 |
| 1528554433 | Katie Blankenship | Occupational Therapist | 330 W Grey Street 100-2, Norman, OK 73069 | 2018-07-03 |
| 1568918886 | Brandi Deerinwater | Case Manager/Care Coordinator | 321 S Peters, Norman, OK 73069 | 2016-08-28 |
| Find all providers in zip 73069 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417100181 | Bryan Joseph Ray | Psychologist | 2405 Palmer Cir Ste 100, Norman, OK 73069-6351 | 2008-10-28 |
| 1912034596 | Andrea Rachele Clark | Psychologist | 1818 W Lindsey St Ste C120, Norman, OK 73069-4169 | 2007-02-28 |
| 1316098734 | Merrie Michal Elisens | Psychologist | 222 Oliphant Ave, Suite 230, Norman, OK 73026-3701 | 2007-01-13 |
| 1275692071 | Carol A. Terry | Psychologist | 1006 24th Ave Nw Ste 100, Norman, OK 73069-6344 | 2006-12-07 |
| 1922039007 | Edith K Ragland | Psychologist | 1125 N Porter Ave Ste 303, Norman, OK 73071-6443 | 2006-07-06 |
| 1790720191 | Candace S. Mccaffrey | Psychologist | 510 24th Ave Sw, Norman, OK 73069-5106 | 2006-06-19 |
| 1083657274 | Darline Thorson | Psychologist | 1800 N Interstate Dr Ste 111, Norman, OK 73072-2995 | 2006-06-14 |
| 1215970074 | Martin L Krimsky | Psychologist | 2416 Tee Cir, Norman, OK 73069-6378 | 2006-06-13 |
| 1396731667 | Anna M Campion | Psychologist | 1818 W Lindsey St, Bldg C, Ste 200/208, Norman, OK 73069-4159 | 2005-09-22 |
| 1184075418 | Martin Krimsky Phd Inc | Psychologist | 419 W Gray St, Norman, OK 73069-7117 | 2016-06-28 |
| Find all providers in NORMAN | ||||
Please comment or provide details below to improve the information on SPECTRUM BEHAVIORAL HEALTH GROUP - OKC, LLC.
| 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.