Active NPI
Catalyst Health Clinic L.L.C.
- Family Medicine Physician
- Oklahoma City, OK
National Provider Identifier
1902141765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 24186
- Legal business name
- CATALYST HEALTH CLINIC L.L.C.
- Practice address
- 1211 N Shartel Ave
Suite 208
Oklahoma City, OK 73103-2400 - Phone
- (405) 751-9679
- Fax
- (405) 557-0801
- NPI assigned
- Dec 5, 2012
- Organization subpart
- Yes
- Parent organization
- CATALYST BEHAVIORAL SERVICES INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark Gunn
- Title
- Cheif Operating Officer
- Phone
- (405) 230-1142
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 24186 | OK | Primary |
Addresses
Primary practice location
1211 N Shartel Ave
Suite 208
Oklahoma City, OK 73103-2400
Mailing address
3033 N Walnut Ave
West Building
Oklahoma City, OK 73105-2832
Phone (405) 751-9679
National Provider Directory
National Provider Directory- Part of
- Drug Recovery Inc
Locations
1211 N Shartel Ave
Ste 208
Oklahoma City, OK 73103
Phone (405) 235-4440
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Substance Abuse Rehabilitation Facility
- Oklahoma City, OK
- NPI 1477837276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1354665600000",
"number": "1902141765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3033 N WALNUT AVE",
"address_2": "WEST BUILDING",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731052832",
"telephone_number": "405-751-9679",
"fax_number": "405-557-0801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 N SHARTEL AVE",
"address_2": "SUITE 208",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731032400",
"telephone_number": "405-751-9679",
"fax_number": "405-557-0801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CATALYST HEALTH CLINIC L.L.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CATALYST BEHAVIORAL SERVICES INC.",
"enumeration_date": "2012-12-05",
"last_updated": "2012-12-05",
"status": "A",
"authorized_official_last_name": "GUNN",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "CHEIF OPERATING OFFICER",
"authorized_official_telephone_number": "405-230-1142",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "OK",
"license": "24186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Dec 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.