Organization Active NPI

Gravel Road Mental Health Services, PLLC

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
National Provider Identifier
1174260434
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GRAVEL ROAD MENTAL HEALTH SERVICES, PLLC
Practice address
9905 S Pennsylvania Ave Ste a
Oklahoma City, OK 73159-6920
Phone
(405) 394-5298
NPI assigned
May 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Authorized official

Name
Cari Gravel, LCSWNPI 1376061127
Title
Member
Phone
(405) 394-5298

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

9905 S Pennsylvania Ave Ste a
Oklahoma City, OK 73159-6920

Mailing address

PO Box 904
Maud, OK 74854-0904
Phone (405) 394-5298

National Provider Directory

National Provider Directory

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": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1174260434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 904",
            "city": "MAUD",
            "state": "OK",
            "postal_code": "748540904",
            "telephone_number": "405-394-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9905 S PENNSYLVANIA AVE STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596920",
            "telephone_number": "405-394-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAVEL ROAD MENTAL HEALTH SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "GRAVEL",
        "authorized_official_first_name": "CARI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "405-394-5298",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 18, 2022; 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.