Organization · Type 2 NPI

Pine Ridge Mental Healthcare, LLC

Psychiatry Physician · Owasso, OK

NPI number 1346828050 Active

Practice location

8418 N 123rd East Ave
Owasso, OK 74055-2139

Other practice locations

  • 1100 W Blue Starr Dr, Claremore, OK 74017-2638 · (918) 858-4353
  • 329 S Elm St Ste 240, Jenks, OK 74037-3765 · (918) 858-4353

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Psychologist 103TC0700XNone listed
Psychiatric/Mental Health Registered Nurse 163WP0808XNone listed
Licensed Practical Nurse 164W00000XNone listed
Family Medicine Physician 207Q00000XNone listed
Psychiatry Physician Primary 2084P0800XNone listed
Physician Assistant 363A00000XNone listed
Nurse's Aide 376K00000XNone listed

Psychiatry Physician: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic la…

4 other providers at this address

About NPI 1346828050

Pine Ridge Mental Healthcare, LLC's National Provider Identifier is 1346828050, issued on Apr 1, 2021. The primary taxonomy on file is Psychiatry Physician (2084P0800X), and the practice location is in Owasso, OK. The record was last updated on Oct 10, 2026.