Pine Ridge Mental Healthcare, LLC
NPI 1346828050 · Psychiatry Physician · Owasso, OK
Provider details
- NPI number
- 1346828050
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nicole Mason, Owner(618) 781-8686
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Licensed Practical Nurse164W00000X
Nursing Service Providers
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
- Nurse's Aide376K00000X
Nursing Service Related Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 329 S Elm St Ste 240Jenks, OK 74037-3765Phone: (918) 858-4353Fax: (866) 246-2942
Registry dates
- Enumerated
- 2021-04-01
- Last updated
- 2026-04-06
- Certified
- 2026-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.