NPIMap

Organization Active NPI

Tasel Health LLC

  • Psychiatry Physician
  • Oklahoma City, OK
National Provider Identifier
1851035398
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
TASEL HEALTH LLC
Practice address
9210 S Western Ave Ste a-21
Oklahoma City, OK 73139-4982
Phone
(405) 934-1681
Fax
(405) 591-3148
NPI assigned
Apr 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Authorized official

Name
Ernest T Abunaw, MDNPI 1811558844
Title
Owner
Phone
(405) 445-9266

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X

Addresses

Primary practice location

9210 S Western Ave Ste a-21
Oklahoma City, OK 73139-4982

Mailing address

3500 Grand Canyon Dr
Norman, OK 73026-4700
Phone (405) 934-1681

Other names 1

  • TASEL HEALTH Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX, IL, OH4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20230525001178 OK Part B Supplier - Clinic/Group Practice 8022474550 Receives reassigned benefits from 3 practitioners
Practice locations: Oklahoma City, OK
O20250217002807 TX Part B Supplier - Clinic/Group Practice 8022474550 Receives reassigned benefits from 4 practitioners
Practice locations: Conroe, TX; San Antonio, TX
O20250418000438 IL Part B Supplier - Clinic/Group Practice 8022474550 Receives reassigned benefits from 1 practitioner
Practice locations: Peoria, IL
O20260319001608 OH Part B Supplier - Clinic/Group Practice 8022474550 Receives reassigned benefits from 1 practitioner
Practice locations: Toledo, OH

National Provider Directory

National Provider Directory

Locations

5208 Renwyck Dr
Ste C
Toledo, OH 43615

100 Medical Center Blvd
Ste 210
Conroe, TX 77304
Phone (405) 934-1681

4402 Vance Jackson Rd
Ste 218
San Antonio, TX 78230
Phone (210) 202-2341

Practitioners & affiliated clinicians

Practitioners 7

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": "1650499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1851035398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 GRAND CANYON DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730264700",
            "telephone_number": "405-934-1681",
            "fax_number": "405-591-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9210 S WESTERN AVE STE A-21",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731394982",
            "telephone_number": "405-934-1681",
            "fax_number": "405-591-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TASEL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-21",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "ABUNAW",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-445-9266",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TASEL HEALTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TASEL HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 13, 2023; 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.