Organization Active NPI

Clearview Mental Health PLLC

  • Psychiatric/Mental Health Registered Nurse
  • Warr Acres, OK
National Provider Identifier
1306690920
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
Legal business name
CLEARVIEW MENTAL HEALTH PLLC
Practice address
5846 NW 72ND PL
Warr Acres, OK 73132-6609
Phone
(405) 492-1107
Fax
(405) 260-9659
NPI assigned
Apr 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Authorized official

Name
Xiomara Jacqueline Porras, PMHNP APRN DNPNPI 1245581883
Title
Provider
Phone
(405) 408-2152

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
Psychiatric/Mental Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WP0808X Primary

Addresses

Primary practice location

5846 NW 72ND PL
Warr Acres, OK 73132-6609

Mailing address

5846 NW 72ND PL
Warr Acres, OK 73132-6609
Phone (405) 492-1107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241104001241 OK Part B Supplier - Clinic/Group Practice 7618400227 Receives reassigned benefits from 1 practitioner
Practice locations: Warr Acres, OK

National Provider Directory

National Provider Directory

Locations

5846 NW 72nd Pl
Warr Acres, OK 73132
Phone (405) 260-9659

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": "1712793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1306690920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5846 NW 72ND PL",
            "city": "WARR ACRES",
            "state": "OK",
            "postal_code": "731326609",
            "telephone_number": "405-492-1107",
            "fax_number": "405-260-9659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5846 NW 72ND PL",
            "city": "WARR ACRES",
            "state": "OK",
            "postal_code": "731326609",
            "telephone_number": "405-492-1107",
            "fax_number": "405-260-9659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARVIEW MENTAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "PORRAS",
        "authorized_official_first_name": "XIOMARA",
        "authorized_official_middle_name": "JACQUELINE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "405-408-2152",
        "authorized_official_credential": "PMHNP APRN DNP"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warr Acres, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.