Active NPI
Private Psychiatric Care
- Psychiatry Physician
- Oklahoma City, OK
National Provider Identifier
1508144031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- PRIVATE PSYCHIATRIC CARE
- Practice address
- 3700 N Classen Blvd Ste 200
Oklahoma City, OK 73118-2860 - Phone
- (405) 708-6999
- Fax
- (877) 245-1779
- NPI assigned
- Aug 2, 2011
- Last updated
- Apr 16, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Selena Melanese Parks
- Title
- Ceo
- Phone
- (405) 708-6999
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | ||
| Mental Health Counselor | 101YM0800X | NU | ||
| Psychiatry Physician | 2084P0800X | NU | Primary |
Addresses
Primary practice location
3700 N Classen Blvd Ste 200
Oklahoma City, OK 73118-2860
Mailing address
3700 N Classen Blvd Ste 200
Oklahoma City, OK 73118-2860
Phone (405) 708-6999
Other practice location 1
4115 N. Classen
Oklahoma City, OK 73118
Phone (405) 708-6999
National Provider Directory
National Provider DirectoryLocations
3700 N Classen Blvd
Ste 200
Oklahoma City, OK 73118
Phone (405) 528-0500
4115 N Classen Blvd
Oklahoma City, OK 73118
Phone (405) 605-3670
4867 S Sheridan Rd
Ste 701
Tulsa, OK 74145
Phone (918) 856-3436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523836800000",
"number": "1508144031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 N CLASSEN BLVD STE 200",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731182860",
"telephone_number": "405-708-6999",
"fax_number": "877-245-1779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 N CLASSEN BLVD STE 200",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731182860",
"telephone_number": "405-708-6999",
"fax_number": "877-245-1779"
}
],
"practiceLocations": [
{
"address_1": "4115 N. Classen",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "73118",
"country_code": "US",
"telephone_number": "405-708-6999",
"fax_number": "877-245-1779",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PRIVATE PSYCHIATRIC CARE",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-02",
"last_updated": "2018-04-16",
"status": "A",
"authorized_official_last_name": "PARKS",
"authorized_official_first_name": "SELENA",
"authorized_official_middle_name": "MELANESE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "405-708-6999"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.