Grand Lake Mental Health Center, Inc.
NPI 1063817021 · Mental Health Clinic/Center (Including Community Mental Health Center) · Pryor, OK
Grand Lake Mental Health Center, Inc. is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Pryor, OK (NPI 1063817021).
Provider details
- NPI number
- 1063817021
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Larry Smith, Ceo(918) 273-1841
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Grand Lake Medical Health Center
Registry dates
- Enumerated
- 2014-11-03
- Last updated
- 2020-07-31
- Certified
- 2020-07-31
Frequently asked questions
- What is Grand Lake Mental Health Center, Inc.'s NPI number?
- Grand Lake Mental Health Center, Inc.'s National Provider Identifier (NPI) is 1063817021, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Lake Mental Health Center, Inc.?
- Grand Lake Mental Health Center, Inc. is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Grand Lake Mental Health Center, Inc. located?
- Grand Lake Mental Health Center, Inc.'s practice location on file with NPPES is 109 N Fairland St, Pryor, OK 74361-4203.
- What is Grand Lake Mental Health Center, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Grand Lake Mental Health Center, Inc. is (918) 825-1405.
- Who is the authorized official for Grand Lake Mental Health Center, Inc.?
- The authorized official listed on Grand Lake Mental Health Center, Inc.'s NPPES record is Larry Smith, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Lake Mental Health Center, Inc.'s NPI active?
- Yes — Grand Lake Mental Health Center, Inc.'s NPI (1063817021) is active in the NPPES registry as of the last update on 2020-07-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.