Organization Active NPI

Family Wellness Center of Norman LLC

  • Psychiatry Physician
  • Norman, OK
National Provider Identifier
1013539774
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
FAMILY WELLNESS CENTER OF NORMAN LLC
Practice address
2760 Washington Dr Ste 110
Norman, OK 73069-1009
Phone
(405) 360-2827
Fax
(405) 283-1124
NPI assigned
May 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Jimi Carman
Title
Owner
Phone
(405) 360-2827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

2760 Washington Dr Ste 110
Norman, OK 73069-1009

Mailing address

2760 Washington Dr Ste 110
Norman, OK 73069-1009
Phone (405) 360-2827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220120002340 OK Part B Supplier - Clinic/Group Practice 3375935588 Receives reassigned benefits from 2 practitioners
Practice locations: Norman, OK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1013539774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 WASHINGTON DR STE 110",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730691009",
            "telephone_number": "405-360-2827",
            "fax_number": "405-283-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 WASHINGTON DR STE 110",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730691009",
            "telephone_number": "405-360-2827",
            "fax_number": "405-283-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY WELLNESS CENTER OF NORMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "CARMAN",
        "authorized_official_first_name": "JIMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-360-2827",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.