| Optum Behavioral Care Of Virginia, Inc. | |
|
9212 N Kelley Ave Ste 200 Oklahoma City OK 73131-2419 | |
| (405) 242-5070 | |
| Not Available |
| Full Name | Optum Behavioral Care Of Virginia, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 9212 N Kelley Ave Ste 200, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Kerry Biscornet (SECRETARY) |
| Authorized Official Contact | 6038542929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optum Behavioral Care Of Virginia, Inc. 11000 Optum Cir Eden Prairie MN 55344-2503 Ph: (603) 854-2929 | Optum Behavioral Care Of Virginia, Inc. 9212 N Kelley Ave Ste 200 Oklahoma City OK 73131-2419 Ph: (405) 242-5070 |
| NPI Number | 1134992548 |
|---|---|
| Provider Enumeration Date | 11/07/2023 |
| Last Update Date | 11/07/2023 |
| Certification Date | 11/07/2023 |
| Medicare PECOS PAC ID | 3971945924 |
|---|---|
| Medicare Enrollment ID | O20240530003101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134992548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Felicia Dawn Cummings |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235255746 PECOS PAC ID: 9931566809 Enrollment ID: I20230607003925 |
| Provider Name | Amy L Bottomly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922302777 PECOS PAC ID: 2860838182 Enrollment ID: I20240308002908 |
| Provider Name | Shelly Denise Mccharen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1407112402 PECOS PAC ID: 3870968183 Enrollment ID: I20240610000134 |
| Provider Name | Delana Dawn Ellis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235467416 PECOS PAC ID: 5799141040 Enrollment ID: I20240610000407 |
| Provider Name | Vickie Lynn Staten-ford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811318280 PECOS PAC ID: 3678015336 Enrollment ID: I20240610001316 |
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 |