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RAVEN JOESINE NEATHERLIN
NPI 1548960222
Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry in Idabel, OK

Active since March 09, 2023
2000 E LINCOLN RD, IDABEL, OK 74745(580) 286-6639 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Raven Joesine Neatherlin NPPES

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

RAVEN JOESINE NEATHERLIN (NPI 1548960222) is an individual behavioral neurology & neuropsychiatry provider in Idabel, Oklahoma, licensed in Oklahoma (360400) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1548960222
Entity TypeIndividualFemale
Primary Taxonomy2084B0040X
Provider Legal NameRAVEN JOESINE NEATHERLIN
Location Address2000 E LINCOLN RDIdabel, OK 74745-7353
Mailing Address3980 Holly Creek RdBroken Bow, OK 74728-6366 · (580) 516-1835
Phone(580) 286-6639
Sole ProprietorNo
Enumeration DateMarch 9, 2023
NPPES CertifiedMarch 9, 2023
✔ NPI 1548960222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Behavioral Neurology & NeuropsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084B0040X
License✔ Licensed in OK · 360400
Definition
Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.
2000 E LINCOLN RD, Idabel, OK 74745
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Other Names 1

Former Name (1)Raven Joesine Phillips

Other Providers at the Same Location NPPES 20

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

BETHANY STEWART
Registered Nurse
2000 E LINCOLN RD
IDABEL, OK 74745
McCurtain County (580) 286-6639
JANA K GALLOWAY BA, BHRS
Peer Specialist
2000 E LINCOLN RD
IDABEL, OK 74745
McCurtain County (580) 286-6639
BROOK NICOLE MCBRAYER
Health and Wellness Coach
2000 E LINCOLN RD
IDABEL, OK 74745
McCurtain County (580) 286-6639
LINDSAY M TROUT
Peer Specialist
2000 E LINCOLN RD
IDABEL, OK 74745
McCurtain County (580) 286-6639
TE'RE MYRKS
Peer Specialist
2000 E LINCOLN RD
IDABEL, OK 74745
McCurtain County (580) 286-6639
MS. MARY JACQUE ISHCOMER
Counselor (Mental Health)
2000 E LINCOLN RD
IDABEL, OK 74745
McCurtain County (580) 286-6639
MRS. BRANDI LYNN FERGUSON B.A. B.H.R.S. C.M.-A
Counselor (Mental Health)
2000 E LINCOLN RD, BOX 1527
IDABEL, OK 74745
McCurtain County (580) 286-6639
KRYSTIN LEIGH CUNNINGHAM
Case Manager/Care Coordinator
2000 E LINCOLN RD
IDABEL, OK 74745
McCurtain County (580) 286-6639

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 Raven Neatherlin's NPI number?

The NPI number for Raven Neatherlin is 1548960222. It was assigned to this individual provider in the NPPES registry on March 9, 2023. The provider is also known as Raven Joesine Phillips.

Where is Raven Neatherlin located?

Raven Neatherlin practices at 2000 E Lincoln Rd, Idabel, OK 74745. The listed phone number is (580) 286-6639.

What is Raven Neatherlin's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Behavioral Neurology & Neuropsychiatry, with taxonomy code 2084B0040X.

When was this NPI record last updated?

The NPPES record for Raven Neatherlin was last updated on March 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.