Ganesan, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

GANESAN, LLC

Practice address

2242 NW 39TH St
Oklahoma City, OK 73112-8884

Phone

(405) 627-9263

NPI assigned

Feb 20, 2020

Organization subpart

No

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

Authorized official

Name

Mena Ganesan, LCSWNPI 1669787198

Title

Ceo

Phone

(405) 627-9263

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 1

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

• Mena Ganesan, MSW

  • Social Worker
  • Oklahoma City, OK
  • NPI 1669787198
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1750914560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 N WALKER AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731031326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2242 NW 39TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731128884",
            "telephone_number": "405-627-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANESAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-20",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "GANESAN",
        "authorized_official_first_name": "MENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-627-9263",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Glen Gammon Jr., LICENSED HEARING AID
• Tara Linden Gamsjager, LPC
• Daniel Alexeev Ganchev, CRNA
• Adithi Gandhi
• Zinai Haruna Gandu, MD
• Mena Ganesan, MSW
• Franklin Kweyella Gang
• Vyjayanthi Ganga, M.D.
• Ritvik Ganguly
• Ralph Gershon Ganick, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.