NPIMap

Organization Active NPI

Southeastern Psychiatric Services LLC

  • Professional Counselor
  • McAlester, OK
National Provider Identifier
1639105752
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1683 Issued in OK
Legal business name
SOUTHEASTERN PSYCHIATRIC SERVICES LLC
Practice address
100 S Main St
McAlester, OK 74501-5364
Phone
(918) 423-3700
Fax
(918) 423-3712
NPI assigned
Jun 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Authorized official

Name
Richard T. Bowden, M.D.
Title
Psychiatrist
Phone
(918) 423-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 1683 OK Primary

Addresses

Primary practice location

100 S Main St
McAlester, OK 74501-5364

Mailing address

PO Box 1589
McAlester, OK 74502-1589
Phone (918) 423-3700

National Provider Directory

National Provider Directory

Locations

100 S Main St
McAlester, OK 74501
Phone (405) 664-0232

100 S Main St
Ste B
McAlester, OK 74501
Phone (918) 423-3700

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1639105752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1589",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745021589",
            "telephone_number": "918-423-3700",
            "fax_number": "918-423-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MAIN ST",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015364",
            "telephone_number": "918-423-3700",
            "fax_number": "918-423-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "BOWDEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "918-423-3700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "1683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAlester, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.