Active NPI
Heather K Geis, MD
- Child & Adolescent Psychiatry Physician
- Oklahoma City, OK
National Provider Identifier
1619961885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 15710
- Practice address
- 1625 Greenbriar PL
#300
Oklahoma City, OK 73159-7645 - Phone
- (405) 692-4000
- Fax
- (405) 692-4001
- NPI assigned
- Sep 2, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 15710 | OK | Primary |
Addresses
Primary practice location
1625 Greenbriar PL
#300
Oklahoma City, OK 73159-7645
Mailing address
2816 NW 57TH St
104
Oklahoma City, OK 73112-7045
Phone (405) 848-7882
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100107830A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City Psychiatric PC | Current | Accepting new patients | |
| Harrisonburg-Rockingham Community Services Board | Current | Accepting new patients | |
| Leslie Bell, LCSW, P.C. | Past | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients |
Locations
2816 NW 57th St
Ste 104
Oklahoma City, OK 73112
Phone (405) 848-7882
1241 N Main St
Harrisonburg, VA 22802
Phone (540) 434-1941
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Oklahoma City, OK
- NPI 1982737995
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Harrisonburg, VA
- NPI 1215933817
-
- Clinical Social Worker
- Afton, OK
- NPI 1568514040
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695081600000",
"number": "1619961885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2816 NW 57TH ST",
"address_2": "104",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731127045",
"telephone_number": "405-848-7882",
"fax_number": "405-848-7818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 GREENBRIAR PL",
"address_2": "#300",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731597645",
"telephone_number": "405-692-4000",
"fax_number": "405-692-4001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEIS",
"first_name": "HEATHER",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-02",
"last_updated": "2023-09-19",
"certification_date": "2023-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "OK",
"license": "15710",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100107830A",
"state": "OK"
}
],
"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 Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.