Individual provider Active NPI

Chariny Michelle Herring, DO

  • Child & Adolescent Psychiatry Physician
  • Tulsa, OK
National Provider Identifier
1285640102
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
3955 Issued in OK
Practice address
2526 E 71St St Ste J
Tulsa, OK 74136-5576
Phone
(918) 268-9578
Fax
(918) 471-2854
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 3955 OK Primary

Addresses

Primary practice location

2526 E 71St St Ste J
Tulsa, OK 74136-5576

Mailing address

8443 S Toledo Ave
Tulsa, OK 74137-1846
Phone (918) 361-4792

Other practice location 1

4300 S Harvard Ave
Tulsa, OK 74135-2619
Phone (918) 728-2228

Other practice location 2

5400 N Classen Blvd
Oklahoma City, OK 73118-4218
Phone (405) 286-2104

Other identifiers 1

IdentifierTypeStateIssuer
200001630AMedicaidOK

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070702000548 OK Practitioner - Psychiatry 8628178738 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3955OKMDPediatric Rehabilitation Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tulsa Family Psychiatry & Wellness, Inc Child & Adolescent Psychiatry CurrentSince Aug 1, 2019 Accepting new patients
Positive Changes LLC Past Accepting new patients

Locations

2526 E 71st St
Ste J
Tulsa, OK 74136
Phone (918) 268-9578

2530 E 71st St
Ste B
Tulsa, OK 74136

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1285640102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8443 S TOLEDO AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741371846",
            "telephone_number": "918-361-4792",
            "fax_number": "918-471-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2526 E 71ST ST STE J",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741365576",
            "telephone_number": "918-268-9578",
            "fax_number": "918-471-2854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 S Harvard Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741352619",
            "country_code": "US",
            "telephone_number": "918-728-2228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5400 N Classen Blvd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731184218",
            "country_code": "US",
            "telephone_number": "405-286-2104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRING",
        "first_name": "CHARINY",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OK",
            "license": "3955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200001630A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.