Addiction Management LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ADDICTION MANAGEMENT LLC

Doing business as

Addiction Management LLC

Practice address

3015 E Skelly Dr Ste 103
Tulsa, OK 74105-6344

Phone

(918) 509-5000

NPI assigned

Dec 26, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Berenato

Title

Owner

Phone

(918) 509-5000

Specialties & licenses 1

Addresses

Other names 1

• Addiction Management LLC Doing business as

Locations

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

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1154190692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 E SKELLY DR STE 103",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056344",
            "telephone_number": "918-509-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 E SKELLY DR STE 103",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056344",
            "telephone_number": "918-509-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTION MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-26",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "BERENATO",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-509-5000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Addiction Management LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Addiction Management LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adc Medical Obg LLC
• Amy Elizabeth Adcock, M.S., CCC-SLP
• Matthew Adcock, MICROPIGMENTOLOGIST
• Meghann Grace Adcock
• Shannon Adcock
• Addiction Medical Specialists LLC
• Breanna Nicole Addington, DO
• Patricia Addis
• Alecia Renee Addison
• Daniel Addo

• General Practice Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• General Practice Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.