| Oklahoma Kids Psychological Service Center | |
|
937 Sw 89th St Ste C Oklahoma City OK 73139-9231 | |
| (405) 339-2245 | |
| Not Available |
| Full Name | Oklahoma Kids Psychological Service Center |
|---|---|
| Speciality | Psychologist |
| Location | 937 Sw 89th St Ste C, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Miracle N Goetz (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2092614008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oklahoma Kids Psychological Service Center 128 W I 240 Service Rd # 1141 Oklahoma City OK 73139-8031 Ph: (405) 339-2245 | Oklahoma Kids Psychological Service Center 937 Sw 89th St Ste C Oklahoma City OK 73139-9231 Ph: (405) 339-2245 |
| NPI Number | 1194440073 |
|---|---|
| Provider Enumeration Date | 10/04/2022 |
| Last Update Date | 08/20/2023 |
| Certification Date | 08/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194440073 | NPI | - | NPPES |
| 200587910A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
Innovative Community Resource Specialist Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3535 Nw 58th St Ste 870e, Oklahoma City, OK 73112 Phone: 405-205-8346 | |
Ohh Physicians South, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5200 E I 240 Service Rd, Oklahoma City, OK 73135 Phone: 405-628-6000 | |
Nami Oklahoma, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1920 N Drexel Blvd, Oklahoma City, OK 73107 Phone: 405-230-1900 Fax: 405-230-1903 | |
Gabriel M Pitman Do Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Sw 80th St, Suite 201, Oklahoma City, OK 73109 Phone: 405-632-9090 Fax: 405-632-9097 | |
Quality Counseling & Intervention Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1330 N Classen Blvd, Suite 311, Oklahoma City, OK 73106 Phone: 405-702-0502 Fax: 405-702-0502 | |
Building Up People Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 Nw Expressway, 531, Oklahoma City, OK 73112 Phone: 405-242-5031 | |
Todd A. Ephraim & Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3829 N Classen Blvd, Suite 200, Oklahoma City, OK 73118 Phone: 913-481-5387 |