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GRAND LAKE MENTAL HEALTH CENTER, INC.
NPI 1659952497
Clinic/Center - Mental Health (Including Community Mental Health Center) in Cleveland, OK

Active since April 14, 2021
907 W CADDO ST, CLEVELAND, OK 74020(918) 308-5511(918) 205-2701 Get Directions Write a Review

NPPES record last updated: April 14, 2021. Verified against the NPPES registry weekly; last sync: July 26, 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 1659952497), doing business as Grand Lake Medical Health Center, is a healthcare organization registered as a mental health (including community mental health center) in Cleveland, Oklahoma and active in the NPI registry since April 2021. The organization lists Larry Smith, Ceo, as its authorized official.

NPPES Registry Identity

NPI1659952497
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameGRAND LAKE MENTAL HEALTH CENTER, INC.
Location Address907 W CADDO STCleveland, OK 74020-4201
Mailing Address114 W Delaware AveNowata, OK 74048-2601 · (918) 273-1841 · Fax (918) 273-1843
Phone(918) 308-5511
Fax(918) 205-2701
Organization SubpartNo
Authorized OfficialLarry SmithCeo · (918) 273-1841
Enumeration DateApril 14, 2021
NPPES CertifiedMarch 23, 2021
✔ NPI 1659952497 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
907 W CADDO ST, Cleveland, OK 74020
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Other Names 1

Doing Business AsGrand Lake Medical Health Center

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.

MRS. AMY COMPTON
Case Manager/Care Coordinator
907 W CADDO ST
CLEVELAND, OK 74020
Pawnee County (918) 358-5339
PAUL KUNCL
Counselor (Mental Health)
907 W CADDO ST
CLEVELAND, OK 74020
Pawnee County (918) 358-5339
KELLY DANEAN INGRAM
Case Manager/Care Coordinator
907 W CADDO ST
CLEVELAND, OK 74020
Pawnee County (918) 308-5511
MRS. VANESSA COSTELLO
Counselor (Mental Health)
907 W CADDO ST
CLEVELAND, OK 74020
Pawnee County (918) 308-5511
TRESSIA SUE HAYES LMSW U/S
Social Worker
907 W CADDO ST
CLEVELAND, OK 74020
Pawnee County (918) 915-1554
KAYLA RENEE LYONS
Peer Specialist
907 W CADDO ST
CLEVELAND, OK 74020
Pawnee County (918) 308-5511
MRS. MICHELLE BERNADETTE SMITH LMHC
Counselor (Mental Health)
907 W CADDO ST
CLEVELAND, OK 74020
Pawnee County (918) 308-5511
KRISTA TRUNDLE BHCMII
Case Manager/Care Coordinator
907 W CADDO ST
CLEVELAND, OK 74020
Pawnee County (918) 308-5511

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 1659952497. It was assigned to this organization in the NPPES registry on April 14, 2021. The provider is doing business as Grand Lake Medical Health Center.

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

Grand Lake Mental Health Center, Inc. is located at 907 W Caddo St, Cleveland, OK 74020. The listed phone number is (918) 308-5511.

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 April 14, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.