Organization Active NPI

Catalyst Health Clinic L.L.C.

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1902141765
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24186 Issued in OK
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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.

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.

Verify at the official NPI Registry.