NPIMap

Organization Active NPI

Grow Well Health LLC

Doing business as Grow Well Health

  • Developmental - Behavioral Pediatrics Physician
  • Tulsa, OK
National Provider Identifier
1598512709
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
Legal business name
GROW WELL HEALTH LLC
Doing business as
Grow Well Health
Practice address
5840 S Memorial Dr Ste 301
Tulsa, OK 74145-9082
Phone
(918) 930-6689
NPI assigned
May 4, 2024
Last updated
Jan 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Matthew Clark
Title
Ceo
Phone
(918) 930-6689

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics Physician 2080P0006X NU Primary

Addresses

Primary practice location

5840 S Memorial Dr Ste 301
Tulsa, OK 74145-9082

Mailing address

5840 S Memorial Dr Ste 301
Tulsa, OK 74145-9082
Phone (918) 930-6689

Other names 1

  • Grow Well Health Doing business as

National Provider Directory

National Provider Directory

Locations

5840 S Memorial Dr
Ste 301
Tulsa, OK 74145
Phone (918) 579-5207

5840 S Memorial Dr
Ste 302
Tulsa, OK 74145
Phone (918) 505-2511

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1598512709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5840 S MEMORIAL DR STE 301",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741459082",
            "telephone_number": "918-930-6689",
            "fax_number": "918-921-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5840 S MEMORIAL DR STE 301",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741459082",
            "telephone_number": "918-930-6689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROW WELL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-04",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-930-6689",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grow Well 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 Jan 5, 2026; 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.