Richard Berryhill
Individual provider Active NPI Peer Specialist · Miami, OK
NPI 1891298519 · NPPES record last updated Mar 9, 2018
Key facts
- NPI
- 1891298519
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 130 W Steve Owens Blvd
Miami, OK 74354-7629 - Phone
- (918) 253-6548
- NPI assigned
- Mar 9, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Oklahoma Council on Alcoholism, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
130 W Steve Owens Blvd
Miami, OK 74354-7629
Mailing address
PO Box 1271
Miami, OK 74355-1271
Phone (918) 675-4100
Other providers in Miami, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.