SSM Health Care of Oklahoma, Inc

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

30382 Issued in OK

Legal business name

SSM HEALTH CARE OF OKLAHOMA, INC

Practice address

333 Central Park W
Suite 36
New York, NY 10025-7145

Phone

(405) 231-8866

Fax

(405) 272-8599

NPI assigned

May 29, 2014

Last updated

May 29, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Crystal L Pena

Title

Insurance Credentialing Specialist

Phone

(405) 272-7452

Specialties & licenses 1

Addresses

Other names 1

• St Anthony Physicians Telepsychiatry Other name

Tax ID family

24 Saints Physical the56 organizations share this tax ID, including this one

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1437561180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269064",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731269064",
            "telephone_number": "405-231-3857",
            "fax_number": "405-272-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CENTRAL PARK W",
            "address_2": "SUITE 36",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100257145",
            "telephone_number": "405-231-8866",
            "fax_number": "405-272-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSM HEALTH CARE OF OKLAHOMA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "INSURANCE CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "405-272-7452"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OK",
            "license": "30382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Anthony Physicians Telepsychiatry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• SS Drugs Inc
• SS Medical Services PLLC
• SS Plastic and Hand Surgery PC
• SS Plastic and Hand Surgery PC
• Jack Ssemanda
• SSS Pharmacy Inc
• Caryn Marie St Clair, M.D.
• Elbert Kyle St Claire III, MD
• Dianna St Fleur, LPN
• Kerna St Fort

• Child & Adolescent Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Child & Adolescent Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.