Parkside, Inc. is a Psychiatric Hospital based in Tulsa, OK. Parkside, Inc. practices in Tulsa, OK. The NPI Number for Parkside, Inc. is 1851327464 and holds a License No. 2261 (Oklahoma).
The current practice location address for Parkside, Inc. is 1620 E 12Th St, Tulsa, OK and can be reached out via phone at 918-582-2131.
Location: 1620 E 12Th St, Tulsa, OK, 74120-5407
Provider Profile Details
NPI Number
1851327464
Provider Name
Parkside, Inc.
Credential
Provider Entity Type
Organization
Address
1620 E 12Th St, Tulsa, OK, 74120-5407
Phone Number
918-582-2131
Fax Number
Provider Enumeration Date
06/24/2006
Last Update Date
03/08/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100738360B | 05 | OK | |
| A00174120 | 01 | OK | CHAMPUS |
| 000374005-001 | 01 | OK | BC/BS |
| 100738360C | 05 | OK |
Provider Business Practice Location Address Details
Address
1620 E 12Th St
City
State
Zip
74120-5407
Phone Number
918-582-2131
Fax Number
Provider Business Mailing Address Details
Address
1620 E 12Th St
City
State
Zip
74120-5407
Phone Number
918-582-2131
Fax Number
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
2261 (Oklahoma)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
License No.
2261 (Oklahoma)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Provider's Taxonomy Details 3
Type
Hospitals
Classification
Psychiatric Hospital
Speciality
-
Taxonomy
License No.
2261 (Oklahoma)
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
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