Organization Active NPI

Premium Behavioral Health Solutions

  • Mental Health Counselor
  • Tulsa, OK
National Provider Identifier
1497572085
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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 HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

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.

Verify at the official NPI Registry.