| Neuropsychiatric Center | |
|
4720 S Western Ave Oklahoma City OK 73109-3834 | |
| (405) 634-5529 | |
| (405) 636-1673 |
| Full Name | Neuropsychiatric Center |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4720 S Western Ave, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Siavash Nael (PRESIDENT MEDICAL DIRECTOR) |
| Authorized Official Contact | 4056345529 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuropsychiatric Center 4720 S Western Ave Oklahoma City OK 73109-3834 Ph: (405) 634-5529 | Neuropsychiatric Center 4720 S Western Ave Oklahoma City OK 73109-3834 Ph: (405) 634-5529 |
| NPI Number | 1295955318 |
|---|---|
| Provider Enumeration Date | 04/30/2007 |
| Last Update Date | 04/23/2018 |
| Medicare PECOS PAC ID | 2860481876 |
|---|---|
| Medicare Enrollment ID | O20040506000875 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295955318 | NPI | - | NPPES |
| 1902809353 | Other | INDIVIDUAL NPI | |
| 02645739079 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 12064 (Oklahoma) | Primary |
| Provider Name | Mary A Secrist |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1962401653 PECOS PAC ID: 4082603006 Enrollment ID: I20040506000919 |
| Provider Name | Siavash Nael |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1902809353 PECOS PAC ID: 6103815113 Enrollment ID: I20110404000351 |
| Provider Name | Mary E Carey |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1669471181 PECOS PAC ID: 0244363752 Enrollment ID: I20110414000843 |
| Provider Name | Tayyaba Ali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700292356 PECOS PAC ID: 4981968492 Enrollment ID: I20180509003021 |
| Provider Name | Tammy Horton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811943426 PECOS PAC ID: 0547165326 Enrollment ID: I20191001002357 |
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