Northside Psychiatry PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

NORTHSIDE PSYCHIATRY PLLC

Practice address

6051 N Brookline Ave Ste 122
Oklahoma City, OK 73112-4286

Phone

(405) 814-6550

Fax

(210) 640-2133

NPI assigned

Sep 26, 2017

Organization subpart

No

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

Authorized official

Name

Elizabeth Muburi, APRN-CNP, PMHNP-BCNPI 1881141000

Title

Practitioner

Phone

(405) 814-6550

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Muburi, APRN-CNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1881141000
  Medicare reassignment Authorized official
• Relindis Kotkiongah Tita, APRN

  • Psychiatry Physician
  • Oklahoma City, OK
  • NPI 1164155693
  NPD (past)
• Jennifer Van Treese, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1588445068
  NPD (past)
• Rebecca Daniel, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Richardson, TX
  • NPI 1447933056
  NPD (past)

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1376052944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20327",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731560327",
            "telephone_number": "405-814-6550",
            "fax_number": "405-252-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 N BROOKLINE AVE STE 122",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124286",
            "telephone_number": "405-814-6550",
            "fax_number": "210-640-2133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 W I 44 Service Rd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731128729",
            "country_code": "US",
            "telephone_number": "405-588-9770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 W I 44 Service Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731128766",
            "country_code": "US",
            "telephone_number": "405-588-9770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 W I 44 Service Rd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731128729",
            "country_code": "US",
            "telephone_number": "405-588-9770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 W I 44 Service Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731128766",
            "country_code": "US",
            "telephone_number": "405-588-9770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 W I 44 Service Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731128766",
            "country_code": "US",
            "telephone_number": "405-814-6550",
            "fax_number": "210-640-2133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHSIDE PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-26",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "MUBURI",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRACTITIONER",
        "authorized_official_telephone_number": "405-814-6550",
        "authorized_official_credential": "APRN-CNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.