Gail Mary Flack, LCSW

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

3550 Issued in OK

Practice address

635 W 11TH St
Tulsa, OK 74127-9014

Phone

(918) 382-3541

Fax

(918) 382-4621

NPI assigned

Dec 15, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Parkside, Inc.

  • Adult Mental Health Clinic/Center
  • Tulsa, OK
  • NPI 1356552111

  Multi-Specialty

  Medicare reassignment NPD
• Parkside, Inc.

  • Psychiatric Hospital
  • Tulsa, OK
  • NPI 1134750649

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229299200000",
    "number": "1396980728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 E 2ND ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741041903",
            "telephone_number": "918-584-0290",
            "fax_number": "918-584-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 W 11TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741279014",
            "telephone_number": "918-382-3541",
            "fax_number": "918-382-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLACK",
        "first_name": "GAIL",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-15",
        "last_updated": "2008-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "OK",
            "license": "3550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serenity Fitzgibbon, COTA/L
• Rebecca Ann Fitzmaurice, RN
• Aubrey Fitzpatrick
• Ryan Fitzpatrick
• FL Billco LLC
• Ian Fladie
• Jacqueline Flaherty, M.S., LPC-S
• Mesheila Flaming, MS, LPC CANDIDATE
• Evan Blaise Flanagan, DPT
• Kimberly Aral Flanagan, LPC

• Multi-Specialty Clinic/Center in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Multi-Specialty Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.