PSYCHIATRIC AND ADDICTION CENTERED MEDICINE LLC
NPI 1407627029
Clinic/Center - Mental Health (Including Community Mental Health Center) in Stigler, OK

Active since January 11, 2024CLIA 37D2298043 · Waiver
109 E MAIN ST UNIT D, STIGLER, OK 74462(918) 438-5477 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Psychiatric And Addiction Centered Medicine Llc NPPES

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

PSYCHIATRIC AND ADDICTION CENTERED MEDICINE LLC (NPI 1407627029) is a healthcare organization registered as a mental health (including community mental health center) in Stigler, Oklahoma and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through January 25, 2028 and lists Kimberly Smith, Credentialing Contact, as its authorized official.

NPPES Registry Identity

NPI1407627029
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NamePSYCHIATRIC AND ADDICTION CENTERED MEDICINE LLC
Location Address109 E MAIN ST UNIT DStigler, OK 74462-2704
Mailing Address109 E Main St Unit DStigler, OK 74462-2704 · (918) 438-5477
Organization SubpartNo
Authorized OfficialKimberly SmithCredentialing Contact · (405) 812-6562
Enumeration DateJanuary 11, 2024
Last NPPES UpdateMarch 12, 2024
NPPES CertifiedMarch 12, 2024
NPI 1407627029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedClinic/CenterTaxonomy 261Q00000X
109 E MAIN ST UNIT D, Stigler, OK 74462

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2298043

Psychiatric And Addiction Centered Medicine LLC · Stigler, OK
Active · expires Jan 25, 2028
CLIA Number37D2298043
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 26, 2026
Certificate Expiration DateJanuary 25, 2028
Laboratory DirectorChasity Butler
Laboratory Phone(870) 834-6140
Laboratory LocationPsychiatric And Addiction Centered Medicine LLC901 E Main St Ste D, Stigler, OK 74462
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
109 E MAIN ST UNIT D
STIGLER, OK 74462
Counselor (Professional)
109 E MAIN ST UNIT D
STIGLER, OK 74462
Physician Assistant
109 E MAIN ST UNIT D
STIGLER, OK 74462
Clinic/Center (Adult Mental Health)
109 E MAIN ST UNIT D
STIGLER, OK 74462

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 Psychiatric And Addiction Centered Medicine LLC's NPI number?

The NPI number for Psychiatric And Addiction Centered Medicine LLC is 1407627029. It was assigned to this organization in the NPPES registry on January 11, 2024.

Where is Psychiatric And Addiction Centered Medicine LLC located?

Psychiatric And Addiction Centered Medicine LLC is located at 109 E Main St Unit D, Stigler, OK 74462. The listed phone number is (918) 438-5477.

What is Psychiatric And Addiction Centered Medicine LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does Psychiatric And Addiction Centered Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2298043) is associated with this NPI, valid through January 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Psychiatric And Addiction Centered Medicine LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Psychiatric And Addiction Centered Medicine LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Psychiatric And Addiction Centered Medicine LLC was last updated on March 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.