| Psychplus | |
|
4220 N Classen Blvd Ste F Oklahoma City OK 73118-2434 | |
| (405) 259-2333 | |
| (405) 543-0015 |
| Full Name | Psychplus |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4220 N Classen Blvd Ste F, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Brooke Ringer (COO) |
| Authorized Official Contact | 4055090193 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychplus Po Box 1326 Norman OK 73070-1326 Ph: (405) 259-2333 | Psychplus 4220 N Classen Blvd Ste F Oklahoma City OK 73118-2434 Ph: (405) 259-2333 |
| NPI Number | 1215516950 |
|---|---|
| Provider Enumeration Date | 04/07/2021 |
| Last Update Date | 02/18/2025 |
| Certification Date | 02/18/2025 |
| Medicare PECOS PAC ID | 9234547548 |
|---|---|
| Medicare Enrollment ID | O20210426000608 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215516950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Fadalia D Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285860643 PECOS PAC ID: 8628265048 Enrollment ID: I20101211000101 |
| Provider Name | Arun Joshua Mathew |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821265133 PECOS PAC ID: 2860662558 Enrollment ID: I20110907001521 |
| Provider Name | Susan Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801134390 PECOS PAC ID: 5395980577 Enrollment ID: I20130315000328 |
| Provider Name | Tarek Kanaa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639521347 PECOS PAC ID: 8426300179 Enrollment ID: I20181009000897 |
| Provider Name | Binita Ghimire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992380158 PECOS PAC ID: 7810383247 Enrollment ID: I20220411001983 |
| Provider Name | Rahil Shariatzadeh Khalili |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750096301 PECOS PAC ID: 9234596271 Enrollment ID: I20231201000382 |
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