Organization Active NPI

City Psychiatric PC

  • Psychiatry Physician
  • Oklahoma City, OK
National Provider Identifier
1982737995
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CITY PSYCHIATRIC PC
Practice address
2816 NW 57TH St
Suite 104
Oklahoma City, OK 73112-7045
Phone
(405) 848-7882
Fax
(405) 848-7818
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Samuel Jay Lensgraf, MDNPI 1699733899
Title
President
Phone
(405) 848-7882

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

2816 NW 57TH St
Suite 104
Oklahoma City, OK 73112-7045

Mailing address

2816 NW 57TH St
Suite 104
Oklahoma City, OK 73112-7045
Phone (405) 848-7882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051006000946 OK Part B Supplier - Clinic/Group Practice 9133144355 Receives reassigned benefits from 2 practitioners
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

2816 NW 57th St
Ste 104
Oklahoma City, OK 73112
Phone (405) 848-7882

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1982737995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 NW 57TH ST",
            "address_2": "SUITE 104",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731127045",
            "telephone_number": "405-848-7882",
            "fax_number": "405-848-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 NW 57TH ST",
            "address_2": "SUITE 104",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731127045",
            "telephone_number": "405-848-7882",
            "fax_number": "405-848-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY PSYCHIATRIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "LENSGRAF",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-848-7882",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "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, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.