Spectra Mental Health

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

SPECTRA MENTAL HEALTH

Practice address

6520 E Reno Ave
Suite D
Midwest City, OK 73110-2109

Phone

(405) 733-0120

Fax

(405) 733-7877

NPI assigned

Apr 8, 2014

Organization subpart

No

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

Authorized official

Name

Davondra Love Owens

Title

Cfo

Phone

(405) 733-0120

Specialties & licenses 2

Addresses

Practitioners 2

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.

• Elmer Gari Owens, P.A.

  • Physician Assistant
  • Fairfax, OK
  • NPI 1679613970
  NPD (past)
• Elizabeth Louise Rouse, ARNP

  • Nurse Practitioner
  • Midwest City, OK
  • NPI 1407805245
  NPD (past)

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396915200000",
    "number": "1073932976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 223",
            "city": "SPENCER",
            "state": "OK",
            "postal_code": "730840223",
            "telephone_number": "405-733-0120",
            "fax_number": "405-733-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6520 E RENO AVE",
            "address_2": "SUITE D",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731102109",
            "telephone_number": "405-733-0120",
            "fax_number": "405-733-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRA MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-08",
        "last_updated": "2014-04-08",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "DAVONDRA",
        "authorized_official_middle_name": "LOVE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "405-733-0120"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Sparks
• Madison Lynn Sparks, PA-C
• Emily Spears, RBT
• Specialty Hospital of Midwest City Operator LLC (Specialty Hospital of Midwest City)
• Spectra Family Medical Clinic LLC
• Spectra Urgent Care, LLP (Spectra Medical Care)
• Spencer Family Dentistry
• Lauran Ruth Spencer, D.D.S.
• Madison Rhea Spencer, MOTR/L
• Michael P Spencer

• Counselor in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; 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.