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PSYDOC LLC NPI 1003209057


NPI Information

NPI: 1003209057
Provider Name: PSYDOC LLC
Classification: Psychiatry & Neurology - 2084P0805X
Entity Type: Organization

Specialization: Geriatric Psychiatry

Address:
309 N REDBUD AVE
BROKEN ARROW, OK
ZIP 74012
Phone: (918) 813-7682
Get Directions

PSYDOC LLC is a geriatric psychiatry psychiatry neurology in Broken Arrow, OK. The provider is geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. PSYDOC LLC NPI is 1003209057. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

309 N REDBUD AVE
BROKEN ARROW, OK
ZIP 74012-376
Phone: (918) 813-7682

The provider's authorized official is Stephen Patton .
The authorized official title is Md, Owner and has the following contact phone number (918) 813-7682.

The enumeration date for this NPI number is 3/16/2015 and was last updated on 3/16/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0805XPsychiatry & NeurologyGeriatric PsychiatryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/15/2022

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.