Active NPI
Premium Behavioral Health Solutions
- Mental Health Counselor
- Tulsa, OK
National Provider Identifier
1497572085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- PREMIUM BEHAVIORAL HEALTH SOLUTIONS
- Practice address
- 4815 S Harvard Ave Ste 300
Tulsa, OK 74135-3067 - Phone
- (918) 734-0914
- NPI assigned
- Sep 24, 2024
- Organization subpart
- Yes
- Parent organization
- VERTICAL BEHAVIORAL HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Tyrone Street
- Title
- Owner
- Phone
- (918) 734-0914
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
4815 S Harvard Ave Ste 300
Tulsa, OK 74135-3067
Mailing address
4815 S Harvard Ave Ste 300
Tulsa, OK 74135-3067
Other names 1
- Vertical Behavioral Health
National Provider Directory
National Provider Directory- Part of
- Premium Behavioral Health Solutions
Locations
4815 S Harvard Ave
Ste 330
Tulsa, OK 74135
Phone (918) 734-0914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728345600000",
"number": "1497572085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4815 S HARVARD AVE STE 300",
"city": "TULSA",
"state": "OK",
"postal_code": "741353067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4815 S HARVARD AVE STE 300",
"city": "TULSA",
"state": "OK",
"postal_code": "741353067",
"telephone_number": "918-734-0914"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIUM BEHAVIORAL HEALTH SOLUTIONS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VERTICAL BEHAVIORAL HEALTH",
"enumeration_date": "2024-09-24",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A",
"authorized_official_last_name": "STREET",
"authorized_official_first_name": "TYRONE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "918-734-0914",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vertical Behavioral Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Vertical 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 Oct 8, 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.