OrganizationActive
Broken Arrow Public Schools
NPI 1669580502 · Psychologist · Broken Arrow, OK
Provider details
- NPI number
- 1669580502
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jamie Gilroy, Medicaid Coordinator(918) 259-4540
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Occupational Therapy Assistant224Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Practice location
112 N Main St
Broken Arrow, OK 74012-3937
Phone: (918) 259-4540
Fax: (918) 258-0958
Approximate (ZIP-level) locationGet directions
Mailing address
112 N Main St
Broken Arrow, OK 74012-3937
Registry dates
- Enumerated
- 2006-08-29
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.