PAVILION BEHAVIORAL HEALTH LLC
NPI 1992539472
Psychiatry & Neurology - Geriatric Psychiatry in Vian, OK

Active since August 28, 2024
99855 HIGHWAY 82, VIAN, OK 74962(479) 353-2368 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pavilion Behavioral Health Llc NPPES

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

PAVILION BEHAVIORAL HEALTH LLC (NPI 1992539472) is a healthcare organization registered as a geriatric psychiatry in Vian, Oklahoma and active in the NPI registry since August 2024. The organization lists Dzaidi Daud, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1992539472
Entity TypeOrganization
Primary Taxonomy2084P0805X
Legal Business NamePAVILION BEHAVIORAL HEALTH LLC
Location Address99855 HIGHWAY 82Vian, OK 74962-6073
Mailing Address99855 Highway 82Vian, OK 74962-6073 · (479) 353-2368
Organization SubpartNo
Authorized OfficialDzaidi DaudCeo/president · (479) 353-2368
Enumeration DateAugust 28, 2024
NPPES CertifiedAugust 28, 2024
✔ NPI 1992539472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Geriatric PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0805X
Definition
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
99855 HIGHWAY 82, Vian, OK 74962

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pavilion Behavioral Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Pavilion Behavioral Health LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (9)

Nurse Practitioner
NPI 1972373876
2620 E PHILLIPS AVE
Sallisaw, OK 74955
(918) 571-3064
✔ PECOS✔ Accepts Medicare12 mi
Mental Health Counselor
NPI 1174842215
100 S BLISS AVE
Tahlequah, OK 74464
(918) 458-3100
✔ PECOS✔ Accepts Medicare28 mi
Nurse Practitioner
NPI 1184123002
1001 TOWSON AVE
Fort Smith, AR 72901
(479) 441-5078
✔ PECOS32 mi
Nurse Practitioner
NPI 1750826798
3111 S 70TH ST
Fort Smith, AR 72903
(479) 452-6650
✔ PECOS36 mi
Mental Health Counselor
NPI 1174936603
4900 W OAK LEAF DR
Tulsa, OK 74131
(189) 344-0109
✔ PECOS✔ Accepts Medicare72 mi
Nurse Practitioner
NPI 1194119016
2701 W UNIVERSITY BLVD
Durant, OK 74701
(580) 740-4053
✔ PECOS✔ Accepts Medicare132 mi
Nurse Practitioner
NPI 1306696067
2701 W UNIVERSITY BLVD
Durant, OK 74701
(580) 740-4053
✔ PECOS✔ Accepts Medicare132 mi
Mental Health Counselor
NPI 1003135682
1804 N ALEXANDER LN
Bethany, OK 73008
(405) 209-5580
✔ PECOS✔ Accepts Medicare151 mi
Nurse Practitioner
NPI 1164246278
401 W CAPITOL AVE STE 1700
Little Rock, AR 72201
(501) 353-7110
✔ PECOS✔ Accepts Medicare161 mi

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 Pavilion Behavioral Health LLC's NPI number?

The NPI number for Pavilion Behavioral Health LLC is 1992539472. It was assigned to this organization in the NPPES registry on August 28, 2024.

Where is Pavilion Behavioral Health LLC located?

Pavilion Behavioral Health LLC is located at 99855 Highway 82, Vian, OK 74962. The listed phone number is (479) 353-2368.

What is Pavilion Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Geriatric Psychiatry, with taxonomy code 2084P0805X.

Is Pavilion Behavioral Health LLC enrolled in Medicare?

Yes. Pavilion Behavioral Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pavilion Behavioral Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Pavilion Behavioral Health LLC. 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. The largest specialties are Nurse Practitioner (6) and Mental Health Counselor (3). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pavilion Behavioral Health LLC accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Pavilion Behavioral Health LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pavilion Behavioral Health LLC was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.