GRAND MENTAL HEALTH
NPI 1003456732
Clinic/Center - Mental Health (Including Community Mental Health Center) in Perry, OK
NPI Status: Active since January 10, 2020
Contact Information
502 N 14TH ST
PERRY, OK
ZIP 73077
Phone: (918) 308-5512
Fax: (580) 215-5767
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
- CLIA Number: 37D2173493
- CLIA Cert. Type: Other - CCBHC
- CLIA Exp. Date: 10-14-2025
About GRAND MENTAL HEALTH
This page provides the complete NPI Profile along with additional information for Grand Mental Health, a provider established in Perry, Oklahoma operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1003456732 assigned on January 2020. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Grand Mental Health. The authorized official of this NPI record is Larry Smith (Ceo)
- NPI
- 1003456732
- Provider Legal Name
- GRAND LAKE MENTAL HEALTH CENTER, INC.
- Other Organization Name
- GRAND MENTAL HEALTH
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 502 N 14TH ST PERRY, OK 73077
- Location Phone
- (918) 308-5512
- Location Fax
- (580) 215-5767
- Mailing Address
- 114 W DELAWARE AVE NOWATA, OK 74048
- Mailing Phone
- (918) 273-1841
- Mailing Fax
- (580) 215-5767
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-10-2020
- Last Update Date
- 06-13-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 37D2173493
- Facility Type
- Other - CCBHC
- Certificate Effective Date
- October 15, 2023
- Certificate Expiration Date
- October 14, 2025
- Laboratory Director
- W JOHN MALLGREN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Grand Mental Health to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for GRAND MENTAL HEALTH
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 0 | 3 | 4 | 5 | 6 | 7 | 3 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 8 | 5 | 12 | 7 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 8 + 5 + 1 + 2 + 7 + 6 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1003456732 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1346263019 | MR. ELDON LAWRENCE JOHNSON M.ED., LPC. Individual | Counselor (Professional) | 502 N 14TH ST PERRY, OK 73077 (918) 308-5512 |
| 1306155650 | NATALIE JAYNE VOLTURO Individual | Case Manager/Care Coordinator | 502 N 14TH ST PERRY, OK 73077 (918) 308-5512 |
| 1669018503 | TORI MICHELLE THOMPSON Individual | Case Manager/Care Coordinator | 502 N 14TH ST PERRY, OK 73077 (918) 418-6851 |
| 1174131619 | STEPHANIE MORRIS Individual | Social Worker | 502 N 14TH ST PERRY, OK 73077 (918) 984-5170 |
| 1851976005 | BRAXTON M LAMUNYON Individual | Case Manager/Care Coordinator | 502 N 14TH ST PERRY, OK 73077 (918) 308-5512 |
| 1154903615 | MALLORY FAITH STATER Individual | Case Manager/Care Coordinator | 502 N 14TH ST PERRY, OK 73077 (918) 308-5512 |
| 1750964144 | VANESSA LAY Individual | Case Manager/Care Coordinator | 502 N 14TH ST PERRY, OK 73077 (918) 308-5512 |
| 1760046643 | SARAH RAE WILSON Individual | Peer Specialist | 502 N 14TH ST PERRY, OK 73077 (918) 308-5512 |
| 1831863166 | JULIE DEMAURO Individual | Case Manager/Care Coordinator | 502 N 14TH ST PERRY, OK 73077 (918) 308-5512 |
| 1457020729 | ALECIA KAYE BOWMAN Individual | Peer Specialist | 502 N 14TH ST PERRY, OK 73077 (918) 273-1841 |
| 1891450268 | CHELSEA REDMAN Individual | Case Manager/Care Coordinator | 502 N 14TH ST PERRY, OK 73077 (918) 308-5512 |
| 1689334807 | MORGAN WELDON Individual | Case Manager/Care Coordinator | 502 N 14TH ST PERRY, OK 73077 (918) 308-5512 |
| 1972831188 | MRS. GLENETTA LASCHELLE BRADLEY LCSW Individual | Behavior Analyst | 502 N 14TH ST PERRY, OK 73077 (918) 308-5512 |
| 1770224396 | RACHEL SILVEY Individual | Peer Specialist | 502 N 14TH ST PERRY, OK 73077 (918) 308-5512 |
| 1841934072 | CARLEY FAYE SMITH Individual | Case Manager/Care Coordinator | 502 N 14TH ST PERRY, OK 73077 (918) 308-5512 |
| 1336707256 | GRAND LAKE MENTAL HEALTH CENTER, INC. Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 502 N 14TH ST PERRY, OK 73077 (918) 305-5512 |
| 1417688151 | ELIZABETH TEEMAN-HALL Individual | Case Manager/Care Coordinator | 502 N 14TH ST PERRY, OK 73077 (844) 458-2100 |
| 1346948718 | HEATH RICE Individual | Peer Specialist | 502 N 14TH ST PERRY, OK 73077 (844) 458-2100 |
| 1407443104 | VIRGINIA MARIE COLLINS LMSW Individual | Social Worker | 502 N 14TH ST PERRY, OK 73077 (580) 749-5057 |
| 1750087789 | ZION ATIRA MELEESA STIDHAM Individual | Case Manager/Care Coordinator | 502 N 14TH ST PERRY, OK 73077 (844) 458-2100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003456732, enumerated in the NPI registry as an "organization" on January 10, 2020
The provider is located at 502 N 14th St Perry, Ok 73077 and the phone number is (918) 308-5512
This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)
The provider's CLIA number is 37D2173493 for a "other - ccbhc" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on January 10, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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