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1710985064

NPI Code Detail

MEDICARE: LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL INC

MEDICARE: LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	283Q00000X	Psychiatric Hospital		OK

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	CC6784	OTHER	OK	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710985064
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL INC

Provider Business Mailing Address
First Line	:	PO BOX 707001
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74170-7001
Country	:	US
Telephone Number	:	918-502-8000
Fax Number	:	918-502-8002

Provider Business Practice Location Address
First Line	:	6655 S YALE AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74136-3326
Country	:	US
Telephone Number	:	918-481-4000
Fax Number	:

Authorized Official
Title or Position	:	SYSTEM DIRECTOR, REV CYCLE SUPPORT
Name	:	BARRY SMITH
Credential	:
Telephone Number	:	918-502-8000

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	12/17/2025

Similar Medicare Providers

1497750343 — DR. HEATHER L HALL MD
Practice Location Address:

6655 S YALE AVE , LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL
TULSA, OK
74136-3326

Practice Phone: 918-481-4000
Practice Fax: 918-491-5740

1629052808 — DR. PATRICIA A. COSTNER D.O.
Practice Location Address:

6655 S YALE AVE , LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL
TULSA, OK
74136-3326

Practice Phone: 918-481-4000
Practice Fax: 918-491-5740

1679553242 — DR. JOHN C CHELF MD
Practice Location Address:

6655 S YALE AVE , LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL
TULSA, OK
74136-3326

Practice Phone: 918-481-4655
Practice Fax: 918-481-4696

1568432607 — DR. SCOTT EDWARD MOSEMAN MD
Practice Location Address:

6655 S YALE AVE , LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL
TULSA, OK
74136-3326

Practice Phone: 918-491-3995
Practice Fax: 918-491-5740

1134199250 — DR. JIMMIE D MCADAMS JR. DO
Practice Location Address:

6655 S YALE AVE , LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL
TULSA, OK
74136-3326

Practice Phone: 918-491-5645
Practice Fax: 918-491-5740

1023088176 — DR. JACKIE LYNN NEEL DO
Practice Location Address:

6655 S YALE AVE , LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL
TULSA, OK
74136-3326

Practice Phone: 918-502-5052
Practice Fax: 918-502-5060

Directions to “LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL INC ” Practice Location

Language	Start Address	Practice Location

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