NPIMap

Organization Active NPI

Mosaic Mental Health LLC

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
National Provider Identifier
1285051672
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MOSAIC MENTAL HEALTH LLC
Practice address
2401 NW 23Rd St
Suite 101
Oklahoma City, OK 73107-2442
Phone
(405) 595-9600
NPI assigned
Mar 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Authorized official

Name
Miranda Bergman, MA LBPNPI 1730352006
Title
Co-Owner, Co-Director
Phone
(405) 595-9600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2401 NW 23Rd St
Suite 101
Oklahoma City, OK 73107-2442

Mailing address

2401 NW 23Rd St
Suite 101
Oklahoma City, OK 73107-2442
Phone (405) 595-9600

National Provider Directory

National Provider Directory

Locations

2401 NW 23rd St
Ste 101
Oklahoma City, OK 73107
Phone (405) 595-9600

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1285051672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 NW 23RD ST",
            "address_2": "SUITE 101",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731072442",
            "telephone_number": "405-595-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 NW 23RD ST",
            "address_2": "SUITE 101",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731072442",
            "telephone_number": "405-595-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "BERGMAN",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_title_or_position": "CO-OWNER, CO-DIRECTOR",
        "authorized_official_telephone_number": "405-595-9600",
        "authorized_official_credential": "MA LBP"
    },
    "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 Feb 27, 2015; 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.