| Sooner Psychiatry Pllc | |
|
1218 E 9th St Ste 1 Edmond OK 73034-5796 | |
| (405) 896-6777 | |
| (405) 896-6725 |
| Full Name | Sooner Psychiatry Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1218 E 9th St Ste 1, Edmond, Oklahoma |
| Authorized Official Name and Position | Ahmed Refat Abdelaziz (PRESIDENT) |
| Authorized Official Contact | 4059260444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sooner Psychiatry Pllc 1218 E 9th St Ste 1 Edmond OK 73034-5796 Ph: (405) 896-6777 | Sooner Psychiatry Pllc 1218 E 9th St Ste 1 Edmond OK 73034-5796 Ph: (405) 896-6777 |
| NPI Number | 1689921207 |
|---|---|
| Provider Enumeration Date | 08/14/2012 |
| Last Update Date | 01/17/2018 |
| Medicare PECOS PAC ID | 6709108558 |
|---|---|
| Medicare Enrollment ID | O20141204002014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689921207 | NPI | - | NPPES |
| 200560830A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 26276 (Oklahoma) | Primary |
| Provider Name | Ahmed M Refat Abdelaziz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467615765 PECOS PAC ID: 1658535588 Enrollment ID: I20120605000705 |
Christian Counseling Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 E 15th St, Suite 102, Edmond, OK 73013 Phone: 405-285-9880 Fax: 405-285-9877 | |
Timothy M. Jones, Lpc, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1019 Waterwood Parkeway, Suite B, Edmond, OK 73034 Phone: 405-261-5228 | |
Counseling Office Of Leah L Danley & Assoc Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3233 East Memorial Road, Suite 110, Edmond, OK 73013 Phone: 405-517-8673 Fax: 405-478-9457 | |
Clinton A. Lewis, Psy.d., P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3855 S Boulevard St Ste 100, Edmond, OK 73013 Phone: 404-340-4321 | |
Jennifer Cox Lpc Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1421 Nw 185th St, Edmond, OK 73012 Phone: 405-922-5350 | |
Seasons Of Change Behavioral Health Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1019 Waterwood Pkwy Ste E, Edmond, OK 73034 Phone: 405-726-9808 Fax: 405-726-9809 | |
Modern Mindcare Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1985 W 33rd St, Edmond, OK 73013 Phone: 405-633-2496 Fax: 224-935-4482 |