Healthcare Provider Details

I. General information

NPI: 1700088192
Provider Name (Legal Business Name): WARREN NEWTON SAPP DMIN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 SE WASHINGTON BLVD GOOD SHEPHERD PRESBYTERIAN CHURCH
BARTLESVILLE OK
74006
US

IV. Provider business mailing address

5817 SE DOUGLAS LANE
BARTLESVILLE OK
74006
US

V. Phone/Fax

Practice location:
  • Phone: 918-333-2522
  • Fax:
Mailing address:
  • Phone: 918-333-2522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: