BROKEN ARROW PEDIATRIC BEHAVIORAL HEALTH LLC (NPI# 1083231724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083231724 |
| Entity Type | Organization |
| Organization Name | BROKEN ARROW PEDIATRIC BEHAVIORAL HEALTH LLC |
| Practice Address |
502 W Atlanta St Broken Arrow OK 74012-7004 |
| Practice Telephone | 9187524403 |
| Mailing Telephone | 9187524403 |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-06-29 |
| Authorized Official Name | DR. BILLY C BEETS (OWNER) |
| Authorized Official Telephone | 9187524403 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Broken Arrow Pediatric Behavioral Health LLC | Former Legal Business Name - Organization |
| Street Address |
502 W ATLANTA ST |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74012-7004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922173475 | Elizabeth Anne Mccutcheon | Pediatrics | 502 W Atlanta St, Broken Arrow, OK 74012-7004 | 2006-11-21 |
| 1639783012 | Relfections Behavioral Health | Pediatrics | 502 W Atlanta St, Broken Arrow, OK 74012-7004 | 2020-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949139 | Bonnie Jordan James | Pharmacist | 915 E Kenosha St, Broken Arrow, OK 74012 | 2020-07-07 |
| 1548814874 | Flawless Smile Dentistry of Ba Pllc | Dentist | 2319 N. 9th Street, Broken Arrow, OK 74012 | 2019-07-25 |
| 1780236653 | Carefirst Pharmacy Inc. | Pharmacy | 2530 N. Elm Pl., Broken Arrow, OK 74012 | 2019-07-11 |
| 1043871213 | Stacy Lynn Mitchell | Counselor | 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 | 2019-06-27 |
| 1497319297 | Sara Hart | Internal Medicine | 420 W. Stone Wood Drive, Broken Arrow, OK 74012 | 2019-04-26 |
| 1699262386 | Fulps Family Eye Care, LLC | Optometrist | 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 | 2018-04-18 |
| 1598284358 | Stephanie Sue Mcquarters | Clinical Medical Laboratory | 1840 South Lion Avenue, Broken Arrow, OK 74012 | 2017-09-13 |
| 1477072460 | Kama Rae Gettings | Nurse Practitioner | 4623 W. Kenosha St, Broken Arrow, OK 74012 | 2017-09-12 |
| 1689196727 | Kristen Sherie' Snyder | Case Manager/Care Coordinator | 1324 North Umbrella Avenue, Broken Arrow, OK 74012 | 2017-07-11 |
| 1699216754 | Hillside Wellness Plllp | Chiropractor | 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 | 2017-03-09 |
| Find all providers in zip 74012 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639783012 | Relfections Behavioral Health | Pediatrics | 502 W Atlanta St, Broken Arrow, OK 74012-7004 | 2020-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336796242 | Foundations Therapy, Pllc | Pediatrics | 3905 N Harrison St, Shawnee, OK 74804-1426 | 2019-08-25 |
| 1285797910 | Willienell H Bryant-pitts | Pediatrics | 216 N Murray St, Helena, OK 73741-1017 | 2006-12-17 |
| 1336194307 | Laurie Ann Kukas | Pediatrics | 1024 Nw 47th St, Ste A, Oklahoma City, OK 73118-6412 | 2006-05-24 |
| 1033562202 | Behavioral Pediatrics of Tulsa Plc | Pediatrics | 5110 S Yale Ave, Suite 103, Tulsa, OK 74135-7401 | 2016-07-22 |
| 1154695278 | Sanford World Clinics | Pediatrics | 2502 W Elk Ave, Duncan, OK 73533-1562 | 2012-03-07 |
| 1235403023 | Newborn Specialists of Tulsa, PC | Pediatrics | 1805 E 15th St, Tulsa, OK 74104-4610 | 2012-02-27 |
| 1154632610 | Laurie A. Kukas, D. O. Faap | Pediatrics | 1024 Nw 47th St, Ste A, Oklahoma City, OK 73118-6400 | 2010-06-29 |
| 1760544068 | Daryl Leroy Scurry | Pediatrics | 1515 Ne Lawrie Tatum Rd, Lawton Indian Hospital, Lawton, OK 73507-3002 | 2006-12-14 |
| 1639282270 | Jane Scott | Pediatrics | 4520 S Harvard Ave, Suite 200, Tulsa, OK 74135-2925 | 2006-08-17 |
| 1912010570 | Cynthia J. Fuller | Pediatrics | 4520 S Harvard Ave, Suite 200, Tulsa, OK 74135-2925 | 2006-08-17 |
| Find all providers with the same taxonomy | ||||
| City | BROKEN ARROW |
| Zip Code | 74012 |
Please comment or provide details below to improve the information on BROKEN ARROW PEDIATRIC BEHAVIORAL HEALTH LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.