Active NPI
Integris Mental Health
- Mental Illness Community Based Residential Treatment Facility
- Spencer, OK
National Provider Identifier
1902196421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- INTEGRIS MENTAL HEALTH
- Practice address
- 2601 Spencer Rd
Spencer, OK 73084-3649 - Phone
- (405) 427-2441
- NPI assigned
- Apr 18, 2011
- Last updated
- Apr 18, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Michelle Tingler
- Title
- Human Resources
- Phone
- (405) 427-2441
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | NU | Primary |
Addresses
Primary practice location
2601 Spencer Rd
Spencer, OK 73084-3649
Mailing address
1304 Garland Ave
Oklahoma City, OK 73111-4710
Phone (405) 234-7047
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D0965427 | Integris Mental Health Spencer | Certificate of waiver | Sep 20, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Case Manager/Care Coordinator
- Oklahoma City, OK
- NPI 1093140899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1303084800000",
"number": "1902196421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1304 GARLAND AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731114710",
"telephone_number": "405-234-7047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 SPENCER RD",
"city": "SPENCER",
"state": "OK",
"postal_code": "730843649",
"telephone_number": "405-427-2441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRIS MENTAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-18",
"last_updated": "2011-04-18",
"status": "A",
"authorized_official_last_name": "TINGLER",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "HUMAN RESOURCES",
"authorized_official_telephone_number": "405-427-2441",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spencer, OK
- Latonya Hoke
- Integris Baptist Medical Center (Integris Mental Health Center)
- Integris Baptist Medical Center Inc
- Integris Baptist Medical Center Inc (Integris Mental Health Center)
- Integris Baptist Medical Center Inc (Integris Mental Health Center Acute)
- Pallu Ad'Ino Israel, B.S.
- Comelia Jackson, M.S
- Krishaun Jackson
- Naomi Marie Jackson
- Linda Jacobs
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.