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GRAND LAKE MENTAL HEALTH CENTER, INC.
NPI 1649082462
Non-emergency Medical Transport (VAN) in Tulsa, OK

Active since January 21, 2025
6333 E SKELLY DR, TULSA, OK 74135(918) 664-4224(918) 663-0203 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Grand Lake Mental Health Center, Inc. NPPES

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

GRAND LAKE MENTAL HEALTH CENTER, INC. (NPI 1649082462), doing business as Grand Mental Health, is a healthcare organization registered as a non-emergency medical transport (van) in Tulsa, Oklahoma and active in the NPI registry since January 2025. The organization lists Joshua Cantwell, Ceo, as its authorized official.

NPPES Registry Identity

NPI1649082462
Entity TypeOrganization
Primary Taxonomy343900000X
Legal Business NameGRAND LAKE MENTAL HEALTH CENTER, INC.
Location Address6333 E SKELLY DRTulsa, OK 74135-6106
Mailing Address114 W Delaware AveNowata, OK 74048-2601 · (918) 273-1841 · Fax (918) 273-1843
Phone(918) 664-4224
Fax(918) 663-0203
Organization SubpartNo
Authorized OfficialJoshua CantwellCeo · (918) 273-1841
Enumeration DateJanuary 21, 2025
NPPES CertifiedJanuary 21, 2025
✔ NPI 1649082462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-emergency Medical Transport (VAN)Transportation Services
Taxonomy Code343900000X
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
6333 E SKELLY DR, Tulsa, OK 74135
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Other Names 1

Doing Business AsGrand Mental Health

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.

JERRY LEE MANUS
Case Manager/Care Coordinator
6333 E SKELLY DR
TULSA, OK 74135
Tulsa County (918) 664-4224
KRYSTAL DAWN HUTCHINSON
Peer Specialist
6333 E SKELLY DR
TULSA, OK 74135
Tulsa County (918) 779-7216
MS. ABIGAIL ELIZABETH CARLISLE
Case Manager/Care Coordinator
6333 E SKELLY DR
TULSA, OK 74135
Tulsa County (000) 000-0000
TANYA CRAWFORD RN
Registered Nurse
6333 E SKELLY DR
TULSA, OK 74135
Tulsa County (918) 664-4224
KELLI ANN ORDORICA
Case Manager/Care Coordinator
6333 E SKELLY DR
TULSA, OK 74135
Tulsa County (918) 779-7151
JAYSON SWISHER
Peer Specialist
6333 E SKELLY DR
TULSA, OK 74135
Tulsa County (918) 664-4224
IVAN HONEYCUTT
Peer Specialist
6333 E SKELLY DR
TULSA, OK 74135
Tulsa County (918) 222-2222
GLORY S KALAKURCHA M.A.
Counselor (Addiction (Substance Use Disorder))
6333 E SKELLY DR
TULSA, OK 74135
Tulsa County (918) 664-4224

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 Grand Lake Mental Health Center, Inc.'s NPI number?

The NPI number for Grand Lake Mental Health Center, Inc. is 1649082462. It was assigned to this organization in the NPPES registry on January 21, 2025. The provider is doing business as GRAND Mental Health.

Where is Grand Lake Mental Health Center, Inc. located?

Grand Lake Mental Health Center, Inc. is located at 6333 E Skelly Dr, Tulsa, OK 74135. The listed phone number is (918) 664-4224.

What is Grand Lake Mental Health Center, Inc.'s specialty?

The primary specialty registered for this NPI is Non-emergency Medical Transport (VAN) with taxonomy code 343900000X.

When was this NPI record last updated?

The NPPES record for Grand Lake Mental Health Center, Inc. was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.