Oklahoma Medical and Psychiatric Services Inc

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

3028 Issued in OK

Legal business name

OKLAHOMA MEDICAL AND PSYCHIATRIC SERVICES INC

Practice address

6646 S Indianapolis Ave
Tulsa, OK 74136-2605

Phone

(918) 492-7722

Fax

(918) 357-5959

NPI assigned

Aug 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark D Gage, DONPI 1972544138

Title

Owner

Phone

(918) 671-9274

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 4

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

• Mark D Gage, DO

  • Psychiatry Physician
  • Tulsa, OK
  • NPI 1972544138
  Medicare reassignment NPD Authorized official
• Melissa Ann James, PT

  • Physical Therapist
  • Oklahoma City, OK
  • NPI 1992805816
  NPD (past)
• Mark Alan Medlin, M.D.

  • Psychiatry Physician
  • Tulsa, OK
  • NPI 1164459582
  NPD (past)
• John B White, MD

  • Psychiatry Physician
  • Tulsa, OK
  • NPI 1063453223
  NPD (past)

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1083807366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140156",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740140002",
            "telephone_number": "918-492-7722",
            "fax_number": "918-357-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6646 S INDIANAPOLIS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741362605",
            "telephone_number": "918-492-7722",
            "fax_number": "918-357-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA MEDICAL AND PSYCHIATRIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "GAGE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-671-9274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "OK",
            "license": "3028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oklahoma Infectious Disease Specialists, LLC
• Oklahoma Life Access, PLLC
• Oklahoma Medical Services & Supply Inc
• Oklahoma Mental Health Council
• Oklahoma Mobility Solutions LLC
• Oklahoma Neurofeedback Specialists LLC
• Oklahoma Neurosurgical Associates

• Psychiatric Hospital in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Psychiatric Hospital in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.