Provider Demographics
NPI:1063399822
Name:TELEPSYCH, INC
Entity type:Organization
Organization Name:TELEPSYCH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SEPIDEH
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMADPOUR
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:214-436-2555
Mailing Address - Street 1:PO BOX 7223
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73083-7223
Mailing Address - Country:US
Mailing Address - Phone:214-436-2555
Mailing Address - Fax:
Practice Address - Street 1:3037 NW 63RD ST STE 253W
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-3635
Practice Address - Country:US
Practice Address - Phone:214-436-2555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty