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NORTHSIDE PSYCHIATRY PLLC
NPI 1376052944
Nurse Practitioner - Psychiatric/Mental Health in Oklahoma City, OK

Active since September 26, 2017
6051 N BROOKLINE AVE STE 122, OKLAHOMA CITY, OK 73112(405) 814-6550(210) 640-2133 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 27, 2026, Feb 9, 2024, Nov 16, 2023 and 1 more (4 updates tracked since 2018).

About Northside Psychiatry Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHSIDE PSYCHIATRY PLLC (NPI 1376052944) is a healthcare organization registered as a psychiatric/mental health in Oklahoma City, Oklahoma and active in the NPI registry since September 2017. The organization maintains 3 additional practice locations and lists Elizabeth Muburi, Practitioner, as its authorized official.

NPPES Registry Identity

NPI1376052944
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameNORTHSIDE PSYCHIATRY PLLC
Location Address6051 N BROOKLINE AVE STE 122Oklahoma City, OK 73112-4286
Mailing AddressPo Box 20327Oklahoma City, OK 73156-0327 · (405) 814-6550 · Fax (405) 252-5651
Phone(405) 814-6550
Fax(210) 640-2133
Organization SubpartNo
Authorized OfficialElizabeth MuburiPractitioner · (405) 814-6550
Enumeration DateSeptember 26, 2017
Last NPPES UpdateJanuary 27, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
✔ NPI 1376052944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
6051 N BROOKLINE AVE STE 122, Oklahoma City, OK 73112
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Secondary Practice Locations 3

Location 12301 W I 44 Service RdOklahoma City, OK 73112-8729 · Phone (405) 588-9770
Location 22301 W I 44 Service Rd Ste 200Oklahoma City, OK 73112-8766 · Phone (405) 588-9770
Location 32301 W I 44 Service Rd Ste 300Oklahoma City, OK 73112-8766 · Phone (405) 814-6550 · Fax (210) 640-2133

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northside Psychiatry Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Northside Psychiatry PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Elizabeth Muburi, APRN-CNP, PMHNP-BC
Nurse Practitioner
NPI 1881141000
6051 N BROOKLINE AVE STE 122
Oklahoma City, OK 73112
(405) 814-6550
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northside Psychiatry PLLC's NPI number?

The NPI number for Northside Psychiatry PLLC is 1376052944. It was assigned to this organization in the NPPES registry on September 26, 2017.

Where is Northside Psychiatry PLLC located?

Northside Psychiatry PLLC is located at 6051 N Brookline Ave Ste 122, Oklahoma City, OK 73112. The listed phone number is (405) 814-6550.

What is Northside Psychiatry PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Northside Psychiatry PLLC enrolled in Medicare?

Yes. Northside Psychiatry PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northside Psychiatry PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Northside Psychiatry PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Northside Psychiatry PLLC was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.