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SOONER PSYCHIATRY PLLC
NPI 1689921207
Psychiatry & Neurology - Psychiatry in Edmond, OK

Active since August 14, 2012
1218 E 9TH ST STE 1, EDMOND, OK 73034(405) 896-6777(405) 896-6725 Get Directions Write a Review

NPPES record last updated: January 17, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sooner Psychiatry Pllc NPPES

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

SOONER PSYCHIATRY PLLC (NPI 1689921207) is a healthcare organization registered as a psychiatry in Edmond, Oklahoma and active in the NPI registry since August 2012. The organization lists Ahmed Refat Abdelaziz, President, as its authorized official.

NPPES Registry Identity

NPI1689921207
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameSOONER PSYCHIATRY PLLC
Location Address1218 E 9TH ST STE 1Edmond, OK 73034-5796
Mailing Address1218 E 9th St Ste 1Edmond, OK 73034-5796 · (405) 896-6777 · Fax (405) 896-6725
Phone(405) 896-6777
Fax(405) 896-6725
Organization SubpartNo
Authorized OfficialAhmed Refat AbdelazizPresident · (405) 926-0444
Enumeration DateAugust 14, 2012
Last NPPES UpdateJanuary 17, 2018
✔ NPI 1689921207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in OK · 26276
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1218 E 9TH ST STE 1, Edmond, OK 73034
Open in Google Maps ↗

Other Identifiers 1

Medicaid200560830AOK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sooner Psychiatry Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sooner Psychiatry PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ahmed Refat Abdelaziz, M.D.
Psychiatry
NPI 1467615765
1218 E 9TH ST STE 1
Edmond, OK 73034
(405) 926-0444
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Sooner Psychiatry PLLC's NPI number?

The NPI number for Sooner Psychiatry PLLC is 1689921207. It was assigned to this organization in the NPPES registry on August 14, 2012.

Where is Sooner Psychiatry PLLC located?

Sooner Psychiatry PLLC is located at 1218 E 9th St Ste 1, Edmond, OK 73034. The listed phone number is (405) 896-6777.

What is Sooner Psychiatry PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Sooner Psychiatry PLLC enrolled in Medicare?

Yes. Sooner Psychiatry PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sooner Psychiatry PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Sooner Psychiatry PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sooner Psychiatry PLLC was last updated on January 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.