Organization Active NPI

Psychiatry of Tulsa, P.C.

  • Psychiatry Physician
  • Tulsa, OK
National Provider Identifier
1164445490
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PSYCHIATRY OF TULSA, P.C.
Practice address
6108 S Memorial Dr
Tulsa, OK 74133-1933
Phone
(918) 627-8858
Fax
(918) 627-4004
NPI assigned
Jul 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Authorized official

Name
Hazem H. Sokkar, M.D.NPI 1780659078
Title
Owner
Phone
(918) 627-8858

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TF0000X 20856 OK
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

6108 S Memorial Dr
Tulsa, OK 74133-1933

Mailing address

4833 S Sheridan Rd
Suite 408
Tulsa, OK 74145-5750
Phone (918) 627-8858

Other identifiers 1

IdentifierTypeStateIssuer
100219880MedicaidOK

Other names 2

  • Serenity Psychiatric Services Former legal business name
  • Serenity Psychiatric Services, PC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040203000588 OK Part B Supplier - Clinic/Group Practice 2365335502 Receives reassigned benefits from 1 practitioner
Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory

Locations

2 N Main St
Sapulpa, OK 74066
Phone (918) 224-6066

4833 S Sheridan Rd
Ste 408
Tulsa, OK 74145
Phone (918) 627-8858

6108 S Memorial Dr
Tulsa, OK 74133
Phone (918) 627-8858

4823 S Sheridan Rd
Ste 308
Tulsa, OK 74145
Phone (918) 627-8858

Practitioners & affiliated clinicians

Practitioners 1

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": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1164445490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4833 S SHERIDAN RD",
            "address_2": "SUITE 408",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741455750",
            "telephone_number": "918-627-8858",
            "fax_number": "918-627-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6108 S MEMORIAL DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331933",
            "telephone_number": "918-627-8858",
            "fax_number": "918-627-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRY OF TULSA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "SOKKAR",
        "authorized_official_first_name": "HAZEM",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-627-8858",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Family",
            "state": "OK",
            "license": "20856",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100219880",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Psychiatric Services",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Serenity Psychiatric Services, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.