Provider Demographics
NPI:1104609213
Name:HOPE PSYCHIATRIC CLINIC OF TULSA, LLC
Entity type:Organization
Organization Name:HOPE PSYCHIATRIC CLINIC OF TULSA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:WAKEFIELD
Authorized Official - Last Name:VASSAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:918-401-0772
Mailing Address - Street 1:7714 S INDIAN AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74132-2841
Mailing Address - Country:US
Mailing Address - Phone:918-645-2018
Mailing Address - Fax:918-612-9972
Practice Address - Street 1:9410 S ELWOOD AVE STE 101
Practice Address - Street 2:
Practice Address - City:JENKS
Practice Address - State:OK
Practice Address - Zip Code:74037-2366
Practice Address - Country:US
Practice Address - Phone:918-401-0772
Practice Address - Fax:918-612-9972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health