Vilman Andre, MA
Individual provider Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Oklahoma City, OK
NPI 1457674707 · NPPES record last updated Apr 15, 2020
Key facts
- NPI
- 1457674707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Practice address
- 3140 W Britton Rd Ste 201
Oklahoma City, OK 73120-2039 - Phone
- (405) 607-6292
- Fax
- (405) 607-6307
- NPI assigned
- Mar 1, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231120001600 | OK | Practitioner - Marriage and Family Therapist | 7416301908 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Therapy Solutions of Oklahoma, LLC | Current |
Accepting new patients | |
| Primary Therapeutic Services, LLC | Current |
Accepting new patients | |
| Mid-del Youth & Family Center, Inc. | Past | Accepting new patients | |
| Mid-del Youth and Family Center | Past | Accepting new patients |
Locations
620 NW 5th St
Ste D
Moore, OK 73160
3140 W Britton Rd
Ste 201
Oklahoma City, OK 73120
Phone (405) 242-5030
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
3140 W Britton Rd Ste 201
Oklahoma City, OK 73120-2039
Mailing address
2229 S Whitbourne PL
Oklahoma City, OK 73170-4824
Phone (405) 227-2408
Other practice location 1
316 S Midwest Blvd
Midwest City, OK 73110-4642
Phone (405) 733-5437
Other providers in Oklahoma City, OK
- Alysabeth Jadyn Andoe
- Jessye Sefenu Andoh
- Blaine Richard Andrade
- Hunter Andrade
- Stephen A Andrade
- Andrea Larabee, PHD, PLLC
- Andrea Vadnais Counseling, LLC
- Mitchell Jeffrey Andrea
- Andrew C Gin, PLLC
- Andrew F Frost MD Inc
All providers in Oklahoma City, OK · Mental Health Clinic/Center (Including Community Mental Health Center) in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.