Cimarron Psychological Services

LBN: Cimarron Psychological Services
Cimarron Psychological Services is an health care organization with primary practice located at 62620 E 58 Rd , Jennings OK 74038-5444. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Cimarron Psychological Services can be contacted via phone (918) 757-2919, or through Ballenger, Christine Ashley via phone (918) 757-2919.

Contact Information

Primary practice address
62620 E 58 Rd Jennings OK 74038-5444
Phone: (918) 757-2919
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ballenger, Christine Ashley PSYD
Phone: (918) 757-2919

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1063 Oklahoma

Profile Details

NPI number 1447512009
LBN Legal business name Cimarron Psychological Services
DBA Doing business as
Authorized official Ballenger, Christine Ashley PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2012
Last updated Jun 11th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447512009 NPPES
Oklahoma MEDICAID 200133910A

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