Rivers Edge Mental Health Associates, P.C.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

17272 Issued in OK

Legal business name

RIVERS EDGE MENTAL HEALTH ASSOCIATES, P.C.

Practice address

1800 W 1St St
Suite 104
Elk City, OK 73644-3133

Phone

(580) 225-8899

Fax

(580) 225-1306

NPI assigned

Jul 20, 2009

Last updated

Aug 14, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Leland Wayne Dennis, M.D.

Title

Owner/Practitioner

Phone

(580) 225-8899

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert B Nisbet, MD

  • Psychiatry Physician
  • Oklahoma City, OK
  • NPI 1285602409
  NPD (past)

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250208000000",
    "number": "1063642486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W 1ST ST",
            "address_2": "SUITE 104",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736443133",
            "telephone_number": "580-225-8899",
            "fax_number": "580-225-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W 1ST ST",
            "address_2": "SUITE 104",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736443133",
            "telephone_number": "580-225-8899",
            "fax_number": "580-225-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERS EDGE MENTAL HEALTH ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-08-14",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "LELAND",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "580-225-8899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "17272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latosha Leann Redd, APRN
• Renal Treatment Centers West Inc (Elk City Dialysis Center)
• Revive Health and Aesthetics, LLC
• Dana Gayle Riley, D.PH.
• Rivers Edge Mental Health & Associates
• Colby D Roberts, OD
• Mikayla Robertson, DC
• George Fielding Robie Jr., M. D.
• Robinson Medical Clinic East, LLC
• Robinson Medical Clinic West, LLC

• Psychiatry Physician in Elk City, OK
• Providers in Elk City, OK by specialty
• Psychiatry Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.