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LIFE PSYCHIATRIC CLINIC PLLC
NPI 1427722370
Psychiatry & Neurology - Neurology in Edmond, OK

Active since August 04, 2021
609 S KELLY AVE STE B2, EDMOND, OK 73003(405) 724-6871(405) 726-0423 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 12, 2022, Aug 18, 2021, Aug 4, 2021 (3 updates tracked since 2021).

About Life Psychiatric Clinic Pllc NPPES

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

LIFE PSYCHIATRIC CLINIC PLLC (NPI 1427722370) is a healthcare organization registered as a neurology in Edmond, Oklahoma and active in the NPI registry since August 2021. The organization maintains a secondary practice location in Edmond and lists Mebin Babu Thomas, Member, as its authorized official.

NPPES Registry Identity

NPI1427722370
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameLIFE PSYCHIATRIC CLINIC PLLC
Location Address609 S KELLY AVE STE B2Edmond, OK 73003-5725
Mailing Address609 S Kelly Ave Ste B2Edmond, OK 73003-5725 · (405) 724-6871 · Fax (405) 726-0423
Phone(405) 724-6871
Fax(405) 726-0423
Organization SubpartNo
Authorized OfficialMebin Babu ThomasMember · (405) 414-9139
Enumeration DateAugust 4, 2021
Last NPPES UpdateApril 12, 20223 updates tracked since enumeration
NPPES CertifiedApril 12, 2022
✔ NPI 1427722370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPhysician AssistantTaxonomy 363A00000X
609 S KELLY AVE STE B2, Edmond, OK 73003
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Secondary Practice Location 1

Location 13501 French Park Dr Ste CEdmond, OK 73034-7290 · Phone (405) 724-6871

Other Identifiers 1

Medicaid201012720AOK

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

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 Life Psychiatric Clinic PLLC's NPI number?

The NPI number for Life Psychiatric Clinic PLLC is 1427722370. It was assigned to this organization in the NPPES registry on August 4, 2021.

Where is Life Psychiatric Clinic PLLC located?

Life Psychiatric Clinic PLLC is located at 609 S Kelly Ave Ste B2, Edmond, OK 73003. The listed phone number is (405) 724-6871.

What is Life Psychiatric Clinic PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Life Psychiatric Clinic PLLC was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.