Oklahoma Clinical Management LLC

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

Legal business name

OKLAHOMA CLINICAL MANAGEMENT LLC

Practice address

6525 N Meridian Ave Ste 110
Oklahoma City, OK 73116-1411

Phone

(405) 593-0583

Fax

(405) 276-5703

NPI assigned

Apr 27, 2018

Last updated

Sep 16, 2021By 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

Jeanette McCollom

Title

Owner/Co-Founder

Phone

(405) 513-4522

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1073001756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6525 N MERIDIAN AVE STE 110",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161411",
            "telephone_number": "405-593-0583",
            "fax_number": "405-276-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 N MERIDIAN AVE STE 110",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161411",
            "telephone_number": "405-593-0583",
            "fax_number": "405-276-5703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1302 W Missouri Ave",
            "address_purpose": "LOCATION",
            "city": "Chickasha",
            "state": "OK",
            "postal_code": "73018",
            "country_code": "US",
            "telephone_number": "405-513-4522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4301 NW 63rd St Ste 107",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "73116",
            "country_code": "US",
            "telephone_number": "405-593-0583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OKLAHOMA CLINICAL MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-27",
        "last_updated": "2021-09-16",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "MCCOLLOM",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "OWNER/CO-FOUNDER",
        "authorized_official_telephone_number": "405-513-4522"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oklahoma City Vision Source (Forester & Pitt Vision Source)
• Oklahoma City-County Health Department
• Oklahoma City-County Health Department
• Oklahoma Clinical Associates LLC
• Oklahoma Clinical DX Inc
• Oklahoma Community Health Centers, Inc (Oklahoma Primary Care Association)
• Oklahoma Community Health Services, Inc. (Variety Care)
• Oklahoma Complete Health, Inc.
• Oklahoma Counseling and Psychotherapy, LLC
• Oklahoma Counseling Intervention Center

• Prevention Professional in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Prevention Professional in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.