Individual provider Active NPI

Natalie Wakefield Vassar, M.D.

  • Psychiatry Physician
  • Jenks, OK
National Provider Identifier
1346495124
Registry record updated Aug 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
26454 Issued in OK
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

Updated by the provider on Aug 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200225570AMedicaidOK

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

OrganizationSpecialtyStatusNew patients
Hope Psychiatric Clinic of Tulsa, LLC CurrentSince Sep 17, 2023 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.

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.

Verify at the official NPI Registry.