Mboc Oklahoma, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MBOC OKLAHOMA, LLC

Practice address

1140 NW 192ND St
Edmond, OK 73012-4481

Phone

(682) 900-6631

Fax

(800) 416-8145

NPI assigned

Dec 2, 2025

Organization subpart

No

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

Authorized official

Name

Ms. Michelle Rinehart

Title

Credentialing Specialist

Phone

(682) 316-1856

Specialties & licenses 2

Addresses

Other names 1

• Mind Body Optimization Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1764633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1679435226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 VILLAGE LN STE 200",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760342948",
            "telephone_number": "682-900-6631",
            "fax_number": "800-416-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 NW 192ND ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730124481",
            "telephone_number": "682-900-6631",
            "fax_number": "800-416-8145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 S Eucalyptus Ave",
            "address_purpose": "LOCATION",
            "city": "Broken Arrow",
            "state": "OK",
            "postal_code": "740126159",
            "country_code": "US",
            "telephone_number": "682-900-6631",
            "fax_number": "800-416-8145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MBOC OKLAHOMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-02",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "RINEHART",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "682-316-1856",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Body Optimization",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Molly Ann Mayfield, APRN, NP-C
• Paige Mayhew, DPT
• Ivie Lynn Mayo
• Tina M Mayo
• Teryn Mazurkewich, PHARM D.
• Chalese McAbee
• Kristy Diane McAlister, M.S., CCC-SLP
• Marsha A. McAlister, LPC
• Curtis Wright McAuliff, ATC
• Carla J McAuliffe, MA, LPC, LADC

• Psychiatry Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Psychiatry Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.