Active NPI
Grow Well Behavioral Health LLC
Doing business as Grow Well Behavioral Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- GROW WELL BEHAVIORAL HEALTH LLC
- Doing business as
- Grow Well Behavioral Health
- Practice address
- 5840 S Memorial Dr Ste 212
Tulsa, OK 74145-9081 - Phone
- (918) 488-8002
- NPI assigned
- Sep 11, 2024
- Last updated
- Sep 11, 2024
- Organization subpart
- Yes
- Parent organization
- GROW WELL HEALTH LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Matthew Clark
- Title
- Chief Executive Officer
- Phone
- (918) 488-8002
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
5840 S Memorial Dr Ste 212
Tulsa, OK 74145-9081
Mailing address
5840 S Memorial Dr Ste 212
Tulsa, OK 74145-9081
Phone (918) 644-1858
Other practice location 1
6711 S Yale Ave
Tulsa, OK 74136-3313
Phone (800) 291-8488
Other names 1
- Grow Well Behavioral Health
National Provider Directory
National Provider Directory- Part of
- Grow Well Health LLC
Locations
5840 S Memorial Dr
Ste 212
Tulsa, OK 74145
Phone (918) 488-8002
6711 S Yale Ave
Tulsa, OK 74136
Phone (800) 291-8488
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
dba Grow Well Health
- Developmental - Behavioral Pediatrics Physician
- Tulsa, OK
- NPI 1598512709
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Counselor
- Tulsa, OK
- NPI 1821796111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726012800000",
"number": "1417783903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5840 S MEMORIAL DR STE 212",
"city": "TULSA",
"state": "OK",
"postal_code": "741459081",
"telephone_number": "918-644-1858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5840 S MEMORIAL DR STE 212",
"city": "TULSA",
"state": "OK",
"postal_code": "741459081",
"telephone_number": "918-488-8002"
}
],
"practiceLocations": [
{
"address_1": "6711 S Yale Ave",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741363313",
"country_code": "US",
"telephone_number": "800-291-8488",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GROW WELL BEHAVIORAL HEALTH LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GROW WELL HEALTH LLC",
"enumeration_date": "2024-09-11",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "918-488-8002",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Grow Well Behavioral Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.