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GRAND MENTAL HEALTH
NPI 1659904076
Clinic/Center - Mental Health (Including Community Mental Health Center) in Tulsa, OK

Active since February 13, 2020
6333 E SKELLY DR, TULSA, OK 74135(918) 273-1841(918) 273-1843 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 1, 2022, Feb 13, 2020 (2 updates tracked since 2020).

About Grand Mental Health NPPES

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

GRAND MENTAL HEALTH (NPI 1659904076) is a healthcare organization registered as a mental health (including community mental health center) in Tulsa, Oklahoma and active in the NPI registry since February 2020. The organization lists Larry Smith, Ceo, as its authorized official.

NPPES Registry Identity

NPI1659904076
Entity TypeOrganization
Primary Taxonomy261QM0801X
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) 273-1841
Fax(918) 273-1843
Organization SubpartNo
Authorized OfficialLarry SmithCeo · (918) 273-1841
Enumeration DateFebruary 13, 2020
Last NPPES UpdateSeptember 1, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2022
✔ NPI 1659904076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
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 1659904076. It was assigned to this organization in the NPPES registry on February 13, 2020. 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) 273-1841.

What is Grand Lake Mental Health Center Inc'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.

When was this NPI record last updated?

The NPPES record for Grand Lake Mental Health Center Inc was last updated on September 1, 2022. 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.