Lussier Psychiatric Clinic

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25858 Issued in OK

Legal business name

LUSSIER PSYCHIATRIC CLINIC

Practice address

5525 E 51St St
Suite 310
Tulsa, OK 74135-7461

Phone

(918) 200-1742

Fax

(866) 580-7221

NPI assigned

Aug 6, 2015

Organization subpart

No

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

Authorized official

Name

Carissa Stephans

Title

Billing Specialist

Phone

(918) 200-1742

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LUSSIER PSYCHIATRIC CLINIC Other name

Locations

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1457737025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 E 51ST ST",
            "address_2": "SUITE 310",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741357461",
            "telephone_number": "918-200-1742",
            "fax_number": "866-580-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 E 51ST ST",
            "address_2": "SUITE 310",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741357461",
            "telephone_number": "918-200-1742",
            "fax_number": "866-580-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUSSIER PSYCHIATRIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-06",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "STEPHANS",
        "authorized_official_first_name": "CARISSA",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "918-200-1742"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "25858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200608270 A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LUSSIER PSYCHIATRIC CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lusk & Riddel Family Dentistry PLLC
• Susan Lynn Lusk-Olson, LPC
• Bethany Lusk
• Jaylon Ramon Lusk
• Steven O Lusk, DDS
• Brandy Lust, LMT
• James Allen Luth, DO
• Raymond Alan Luth, CRNA
• Sadaf Luth
• Deborah M. Luthey, M.A., CCC

• Psychiatry Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Psychiatry Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.