Organization Active NPI

Mindful Psychiatric Consulting LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1154976033
Registry record updated May 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MINDFUL PSYCHIATRIC CONSULTING LLC
Practice address
4001 N Classen Blvd Ste 200
Oklahoma City, OK 73118-2683
Phone
(405) 760-3772
NPI assigned
Aug 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2023

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

Authorized official

Name
Satera Nicole Washington, DNPNPI 1902248123
Title
Psychiatric Nurse Practitioner
Phone
(405) 760-3772

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

4001 N Classen Blvd Ste 200
Oklahoma City, OK 73118-2683

Mailing address

PO Box 7452
Edmond, OK 73083-7452
Phone (405) 251-7190

Other identifiers 1

IdentifierTypeStateIssuer
200693480AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190918002394 OK Part B Supplier - Clinic/Group Practice 4981934965 Receives reassigned benefits from 2 practitioners
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

4001 N Classen Blvd
Ste 200
Oklahoma City, OK 73118
Phone (405) 251-7190

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683936000000",
    "number": "1154976033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7452",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730837452",
            "telephone_number": "405-251-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 N CLASSEN BLVD STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731182683",
            "telephone_number": "405-760-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL PSYCHIATRIC CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-07",
        "last_updated": "2023-05-13",
        "certification_date": "2023-05-13",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "SATERA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "405-760-3772",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200693480A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2023; 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.