Organization Active NPI

Gilead Telehealth

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Norman, OK
National Provider Identifier
1881364594
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GILEAD TELEHEALTH
Practice address
200 Vicksburg Ave Apt M2
Norman, OK 73071-2479
Phone
(240) 551-3447
Fax
(405) 217-2058
NPI assigned
Sep 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Authorized official

Name
Magdaline Etawu Epie, APRN, CNP, PMHNPNPI 1205468881
Title
Psychiatric Nurse Practitioner
Phone
(240) 551-3447

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

200 Vicksburg Ave Apt M2
Norman, OK 73071-2479

Mailing address

200 Vicksburg Ave Apt M2
Norman, OK 73071-2479
Phone (240) 551-3447

Other identifiers 1

IdentifierTypeStateIssuer
EINMedicaidOK

Other names 1

  • Gilead Telehealth Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL TherapyNote Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1881364594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 VICKSBURG AVE APT M2",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730712479",
            "telephone_number": "240-551-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 VICKSBURG AVE APT M2",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730712479",
            "telephone_number": "240-551-3447",
            "fax_number": "405-217-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILEAD TELEHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "EPIE",
        "authorized_official_first_name": "MAGDALINE",
        "authorized_official_middle_name": "ETAWU",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "240-551-3447",
        "authorized_official_credential": "APRN, CNP, PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EIN",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "TherapyNote",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "business email",
            "address_1": "200 Vicksburg Ave Apt M2",
            "city": "Norman",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730712479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Gilead Telehealth",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.