Active NPI
Rohit Gautam
- Adult Mental Health Clinic/Center
- Oklahoma City, OK
National Provider Identifier
1518223502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Practice address
- 9205 S Shartel Ave Apt 201
Oklahoma City, OK 73139-5214 - Phone
- (405) 512-1109
- NPI assigned
- Apr 4, 2012
- Last updated
- Apr 4, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | NU | Primary |
Addresses
Primary practice location
9205 S Shartel Ave Apt 201
Oklahoma City, OK 73139-5214
Mailing address
9205 S Shartel Ave Apt 201
Oklahoma City, OK 73139-5214
Phone (405) 512-1109
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333497600000",
"number": "1518223502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9205 S SHARTEL AVE APT 201",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731395214",
"telephone_number": "405-512-1109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9205 S SHARTEL AVE APT 201",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731395214",
"telephone_number": "405-512-1109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUTAM",
"first_name": "ROHIT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-04",
"last_updated": "2012-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"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 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.