Organization · Type 2 NPI
Pine Ridge Mental Healthcare, LLC
Psychiatry Physician · Owasso, OK
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
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Clinical Psychologist | 103TC0700X | None listed |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | None listed |
| Licensed Practical Nurse | 164W00000X | None listed |
| Family Medicine Physician | 207Q00000X | None listed |
| Psychiatry Physician Primary | 2084P0800X | None listed |
| Physician Assistant | 363A00000X | None listed |
| Nurse's Aide | 376K00000X | None 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.