| The Center For Therapeutic Interventions | |
|
4100 Se Adams Rd Ste E108 Bartlesville OK 74006-8409 | |
| (918) 333-3828 | |
| (918) 333-3875 |
| Full Name | The Center For Therapeutic Interventions |
|---|---|
| Speciality | Clinic/Center |
| Location | 4100 Se Adams Rd Ste E108, Bartlesville, Oklahoma |
| Authorized Official Name and Position | Janet Cizek (CEO) |
| Authorized Official Contact | 9183840002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For Therapeutic Interventions 7477 E 46th Pl Tulsa OK 74145-6305 Ph: (918) 384-0002 | The Center For Therapeutic Interventions 4100 Se Adams Rd Ste E108 Bartlesville OK 74006-8409 Ph: (918) 333-3828 |
| NPI Number | 1831439066 |
|---|---|
| Provider Enumeration Date | 02/25/2013 |
| Last Update Date | 12/18/2019 |
| Certification Date | 12/18/2019 |
| Medicare PECOS PAC ID | 1759511827 |
|---|---|
| Medicare Enrollment ID | O20140311001807 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831439066 | NPI | - | NPPES |
| 200081620 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
| Provider Name | Layne E Subera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568483758 PECOS PAC ID: 9931391786 Enrollment ID: I20101012000442 |
| Provider Name | Shelby Ann Pope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497341895 PECOS PAC ID: 4587068895 Enrollment ID: I20210809003548 |
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