PS&a Case Management & Provider Agency

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PS&A CASE MANAGEMENT & PROVIDER AGENCY

Practice address

4528 S Sheridan Rd Ste 113
Tulsa, OK 74145-1101

Phone

(918) 282-5363

Fax

(918) 585-7152

NPI assigned

Oct 4, 2010

Organization subpart

No

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

Authorized official

Name

Patrice D. Simpkins, MHR / MRC

Title

Ceo / Executive Director

Phone

(918) 282-5363

Specialties & licenses 5

Addresses

Other identifiers 3

Locations

Practitioners 1

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

• Patrice D. Riley, MHR/MRC

  • Professional Counselor
  • Norman, OK
  • NPI 1073787404

  Case Management

  NPD (past)

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1245549567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4528 S SHERIDAN RD STE 113",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741451140",
            "telephone_number": "918-282-5363",
            "fax_number": "918-585-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4528 S SHERIDAN RD STE 113",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741451101",
            "telephone_number": "918-282-5363",
            "fax_number": "918-585-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PS&A CASE MANAGEMENT & PROVIDER AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "SIMPKINS",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO / EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "918-282-5363",
        "authorized_official_credential": "MHR / MRC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APS/SOONER CARE",
            "identifier": "200242130A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA HEALTH CARE AUTHORITY (OHCA)",
            "identifier": "200242130A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200242130A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kristin Mariah Pruitt, APRN-CNS
• Jean Michelle Pryor, OT
• Rachel Marie Psomas, O.D.
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• In Home Supportive Care Agency in Tulsa, OK
• Providers in Tulsa, OK by specialty
• In Home Supportive Care Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.