Active NPI
Gilead Telepsych, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Norman, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- GILEAD TELEPSYCH, LLC
- Doing business as
- Gilead Telepsych, LLC
- Practice address
- 200 Vicksburg Ave Apt M2
Norman, OK 73071-2479 - Phone
- (405) 310-7590
- NPI assigned
- May 1, 2022
- Last updated
- May 1, 2022
- Organization subpart
- Yes
- Parent organization
- GILEAD TELEHEALTH PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Magdaline Epie, PMHNP
- Title
- Aprn
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
6908 Strathmore St Apt 316
Chevy Chase, MD 20815-6224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200898000A | Medicaid | OK |
Other names 1
- Gilead Telepsych, LLC
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | TherapyNote | Other |
National Provider Directory
National Provider Directory- Part of
- Gilead Telepsych LLC
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Norman, OK
- NPI 1881364594
Practitioners & 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Moore, OK
- NPI 1205468881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651363200000",
"number": "1912642208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6908 STRATHMORE ST APT 316",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208156224"
},
{
"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": "405-310-7590"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GILEAD TELEPSYCH, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GILEAD TELEHEALTH PLLC",
"enumeration_date": "2022-05-01",
"last_updated": "2022-05-01",
"certification_date": "2022-05-01",
"status": "A",
"authorized_official_last_name": "EPIE",
"authorized_official_first_name": "MAGDALINE",
"authorized_official_title_or_position": "APRN",
"authorized_official_telephone_number": "240-551-3447",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "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": "200898000A",
"state": "OK"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "TherapyNote",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "TherapyNote",
"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 Telepsych, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
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 May 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.