Odmhsas

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ODMHSAS

Practice address

405 E Excelsior Ave
Vinita, OK 74301-4226

Phone

(918) 256-6476

NPI assigned

Sep 2, 2015

Last updated

Sep 2, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dominque M LeeNPI 1538525951

Title

RSS

Phone

(918) 915-0309

Specialties & licenses 1

Addresses

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.

• Dominque Lee

  • Peer Specialist
  • Vinita, OK
  • NPI 1538525951
  Authorized official Same address or phone

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1942678388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 E EXCELSIOR AVE",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743014226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E EXCELSIOR AVE",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743014226",
            "telephone_number": "918-256-6476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODMHSAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DOMINQUE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "RSS",
        "authorized_official_telephone_number": "918-915-0309"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Beginnings, Individual and Family Services, LLC
• Shaylynn J Niver
• Northeast Oklahoma Clinical Partners, Inc.
• Michael Allen Nugent, M.D.
• Bobbi Sue O'Neal
• Gail Lynn Offermann, M.D.
• Gloria Grace Ojeda
• Oklahoma Forensic Center
• Matt Lance Oldacre, PHARMD
• Christopher P Olson, M.D.

• Community/Behavioral Health Agency in Vinita, OK
• Providers in Vinita, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.