Active NPI
Natalie Wakefield Vassar, M.D.
- Psychiatry Physician
- Jenks, OK
National Provider Identifier
1346495124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 26454
- Practice address
- 9410 S Elwood Ave Ste 101
Jenks, OK 74037-2366 - Phone
- (918) 401-0772
- Fax
- (918) 612-9972
- NPI assigned
- Nov 20, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychosomatic Medicine Physician | 2084P0015X | 26454 | OK | |
| Psychiatry Physician | 2084P0800X | 26454 | OK | Primary |
Addresses
Primary practice location
9410 S Elwood Ave Ste 101
Jenks, OK 74037-2366
Mailing address
7714 S Indian Ave
Tulsa, OK 74132-2841
Phone (918) 645-2018
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200225570A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Psychiatric Clinic of Tulsa, LLC | Current | Accepting new patients |
Locations
9410 S Elwood Ave
Ste 101
Jenks, OK 74037
Phone (918) 401-0772
Organizations & group practices 1
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.
-
- Adult Mental Health Clinic/Center
- Jenks, OK
- NPI 1104609213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692403200000",
"number": "1346495124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7714 S INDIAN AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741322841",
"telephone_number": "918-645-2018",
"fax_number": "918-612-9972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9410 S ELWOOD AVE STE 101",
"city": "JENKS",
"state": "OK",
"postal_code": "740372366",
"telephone_number": "918-401-0772",
"fax_number": "918-612-9972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASSAR",
"first_name": "NATALIE",
"middle_name": "WAKEFIELD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-20",
"last_updated": "2023-08-19",
"certification_date": "2023-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0015X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychosomatic Medicine",
"state": "OK",
"license": "26454",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OK",
"license": "26454",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200225570A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jenks, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.