Active NPI
Mindful Psychiatric Consulting LLC
- Psychiatric/Mental Health Nurse Practitioner
- Oklahoma City, OK
National Provider Identifier
1154976033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Satera Nicole Washington, DNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200693480A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Oklahoma City, OK
- NPI 1902248123
Single Specialty
-
- Psychiatric/Mental Health Nurse Practitioner
- Oklahoma City, OK
- NPI 1558857078
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.