Active NPI
Vivian G Hasbrook, M.D.
- Psychiatry Physician
- Norman, OK
National Provider Identifier
1225101215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 18945
- Practice address
- 900 E Main St
BLDG. 100
Norman, OK 73071-5305 - Phone
- (405) 307-4800
- Fax
- (405) 307-4865
- NPI assigned
- Nov 16, 2006
- Last updated
- Dec 14, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 18945 | OK | Primary |
Addresses
Primary practice location
900 E Main St
BLDG. 100
Norman, OK 73071-5305
Mailing address
4400 N Lincoln Blvd
Oklahoma City, OK 73105-5104
Phone (405) 424-7711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100205270A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18945 | MD | MD | Pharmacist |
| 18945 | OK | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Oklahoma | Past | Accepting new patients | |
| State of Oklahoma | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Red Rock Behavioral Health Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Oklahoma City, OK
- NPI 1275574907
-
- Medical Specialty Clinic/Center
- Woodward, OK
- NPI 1750456588
-
dba Northwest Center for Behavioral Health
- Psychiatric Hospital
- Fort Supply, OK
- NPI 1922171701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292284800000",
"number": "1225101215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 N LINCOLN BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731055104",
"telephone_number": "405-424-7711",
"fax_number": "405-307-4865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E MAIN ST",
"address_2": "BLDG. 100",
"city": "NORMAN",
"state": "OK",
"postal_code": "730715305",
"telephone_number": "405-307-4800",
"fax_number": "405-307-4865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASBROOK",
"first_name": "VIVIAN",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2010-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OK",
"license": "18945",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100205270A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.