| City Psychiatric Pc | |
|
2816 Nw 57th St Suite 104 Oklahoma City OK 73112-7045 | |
| (405) 848-7882 | |
| (405) 848-7818 |
| Full Name | City Psychiatric Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2816 Nw 57th St, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Samuel Jay Lensgraf (PRESIDENT) |
| Authorized Official Contact | 4058487882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| City Psychiatric Pc 2816 Nw 57th St Suite 104 Oklahoma City OK 73112-7045 Ph: (405) 848-7882 | City Psychiatric Pc 2816 Nw 57th St Suite 104 Oklahoma City OK 73112-7045 Ph: (405) 848-7882 |
| NPI Number | 1982737995 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 12/05/2007 |
| Medicare PECOS PAC ID | 9133144355 |
|---|---|
| Medicare Enrollment ID | O20051006000946 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982737995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Samuel J Lensgraf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699733899 PECOS PAC ID: 4284660036 Enrollment ID: I20051010000438 |
| Provider Name | Heather Geis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619961885 PECOS PAC ID: 5193740124 Enrollment ID: I20051010000449 |
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