Active NPI
Private Psychiatric Care
- Psychiatry Physician
- Tulsa, OK
National Provider Identifier
1588942015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- PRIVATE PSYCHIATRIC CARE
- Practice address
- 907 S Detroit Ave Ste 1075
Tulsa, OK 74120-4276 - Phone
- (918) 856-3436
- Fax
- (877) 245-1779
- NPI assigned
- Aug 2, 2011
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Group Psychotherapy Psychologist | 103TP2701X | |||
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
907 S Detroit Ave Ste 1075
Tulsa, OK 74120-4276
Mailing address
4845 S Sheridan Rd
504
Tulsa, OK 74145-5751
Phone (918) 856-3436
National Provider Directory
National Provider DirectoryLocations
907 S Detroit Ave
Ste 1075
Tulsa, OK 74120
Phone (918) 856-3436
4845 S Sheridan Rd
Ste 504
Tulsa, OK 74145
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Tulsa, OK
- NPI 1851672604
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": "1588942015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4845 S SHERIDAN RD",
"address_2": "504",
"city": "TULSA",
"state": "OK",
"postal_code": "741455751",
"telephone_number": "918-856-3436",
"fax_number": "877-245-1779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 S DETROIT AVE STE 1075",
"city": "TULSA",
"state": "OK",
"postal_code": "741204276",
"telephone_number": "918-856-3436",
"fax_number": "877-245-1779"
}
],
"practiceLocations": [],
"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": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 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.