OrganizationActive
Grand Lake Mental Health Center, Inc.
NPI 1578103206 · Mental Health Clinic/Center (Including Community Mental Health Center) · Jay, OK
Provider details
- NPI number
- 1578103206
- 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
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
1015 W Washbourne St
Jay, OK 74346-4205
Phone: (918) 305-5513
Fax: (918) 253-6645
Street-level locationGet directions
Mailing address
114 W Delaware Ave
Nowata, OK 74048-2601
Other names (DBA / former)
- Doing business as
- Grand Mental Health
Registry dates
- Enumerated
- 2020-01-10
- Last updated
- 2022-06-13
- Certified
- 2022-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.