Tameko L Colbert

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

309345 Issued in OK

Practice address

4501 N Classen Blvd Ste 106
Oklahoma City, OK 73118-4822

Phone

(405) 835-6757

NPI assigned

May 23, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Prevention Center, LLC

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
  • NPI 1235535352
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1932546462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 NW 155TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730132081",
            "telephone_number": "405-371-0479",
            "fax_number": "405-938-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 N CLASSEN BLVD STE 106",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731184822",
            "telephone_number": "405-835-6757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 United Founders Blvd Ste 124",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731124292",
            "country_code": "US",
            "telephone_number": "405-646-0455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLBERT",
        "first_name": "TAMEKO",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-23",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OK",
            "license": "309345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932546462",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Colbert, M.A.
• Bethany Anne Colbert
• Clarese Rasha Colbert
• Joshua John Colbert
• Sabian Sahdaa Clark Colbert, EMT
• Tommie G Colbert Jr.
• Ute Elizabeth Colbert
• Lara Colby
• Emily R. Coldiron, D.O.
• Landon Coldiron, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.