IndividualActive
Jason Gerhard, RSS
NPI 1619707908 · Mental Health Clinic/Center (Including Community Mental Health Center) · Ponca City, OK
Provider details
- NPI number
- 1619707908
- Entity type
- Individual
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Credential
- RSS
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(50/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% 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
620 W Grand Ave
Ponca City, OK 74601-5123
Phone: (580) 762-1462
Fax: (581) 765-7299
Street-level locationGet directions
Mailing address
620 W Grand Ave
Ponca City, OK 74601-5123
Registry dates
- Enumerated
- 2024-08-02
- Last updated
- 2024-08-02
- Certified
- 2024-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.