Organization Active NPI

Private Psychiatric Care

  • Psychiatry Physician
  • Oklahoma City, OK
National Provider Identifier
1508144031
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.