MR. MIRACLE OBETA (NPI# 1083950125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083950125 |
| Entity Type | Individual |
| Full Name | MR. MIRACLE OBETA |
| Credential | MA, BHRS |
| Practice Address |
2900 Cider Mill Ln Yukon OK 73099-8843 |
| Practice Telephone | 4055413733 |
| Mailing Telephone | 4055413733 |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2019-05-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
2900 CIDER MILL LN |
| City | YUKON |
| State | OK |
| Zip Code | 73099-8843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625201 | Bintu Sinju Thomas | Nurse Practitioner | 752 Dana Dr Yukon Oklahoma, Yukon, OK 73099 | 2020-07-02 |
| 1164049185 | Custom Dental of Yukon, Pllc | Clinic/Center | 4425 Grant Blvd, Yukon, OK 73099 | 2020-06-26 |
| 1720600174 | Piedmont Dentistry & Braces | Clinic/Center | 12000 Nw Expressway, Yukon, OK 73099 | 2020-05-08 |
| 1073135588 | Yukon Dentistry & Braces | Clinic/Center | 901 E Main Street, Suite 100, Yukon, OK 73099 | 2020-05-07 |
| 1457998734 | Here At Home Senior Care LLC | In Home Supportive Care | 7709 Nw Expressway Ste B, Yukon, OK 73099 | 2019-12-05 |
| 1255981619 | Mariam Reynolds | Case Manager/Care Coordinator | 7905 Ok-66, El Reno, OK 73099 | 2019-09-18 |
| 1780239202 | Immediate Care of Oklahoma, LLC | Clinic/Center | 10616 U.S. Highway 66, Suite 100, Oklahoma City, OK 73099 | 2019-08-02 |
| 1013490689 | Jade Bell | Physical Therapy Assistant | 1000 Desert Trail, Yukon, OK 73099 | 2018-09-10 |
| 1821570250 | Anjoli Tamesha Vanwey | Case Manager/Care Coordinator | 1213 Yuhoma Dr, Yukon, OK 73099 | 2018-09-01 |
| 1194220780 | Michael Lee Lefever | Case Manager/Care Coordinator | 11705 Sw 115th Ter, Yukon, OK 73099 | 2018-03-27 |
| Find all providers in zip 73099 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780201798 | Canadian County Collaborative LLC | Community/Behavioral Health | 1703 Professional Cir Ste 201, Yukon, OK 73099-6498 | 2020-06-26 |
| 1447505128 | Joyette Messiah Womble | Community/Behavioral Health | 1113 Kingston Dr, Yukon, OK 73099-5411 | 2012-07-18 |
| 1447556501 | Anita J.sweetland, Lpc, PC | Community/Behavioral Health | 406 Maple St Ste 2, Yukon, OK 73099-2657 | 2011-02-07 |
| 1558505701 | Oklahoma Mental Health Council | Community/Behavioral Health | 1501 West Commerce, Yukon, OK 73099 | 2009-04-30 |
| 1174770200 | Yco Clinton, Inc. | Community/Behavioral Health | 1312 S. Morgan Rd., Suite D, Yukon, OK 73099 | 2008-08-20 |
| 1346456993 | Oklahoma Mental Health Council | Community/Behavioral Health | 1175 S Ranchwood Blvd, Yukon, OK 73099-4871 | 2007-05-14 |
| 1851413918 | Youth & Family Services, Inc. | Community/Behavioral Health | 301 Elm Ave Ste 106, Yukon, OK 73099-2669 | 2007-04-06 |
| 1740758002 | Missy Riddles LLC | Community/Behavioral Health | 11219 W Reno Ave, Yukon, OK 73099-7569 | 2018-11-05 |
| 1356798730 | Choices Counseling Center | Community/Behavioral Health | 420 S Mustang Rd, Ste D, Yukon, OK 73099-7316 | 2016-05-16 |
| 1164889366 | Oklahoma Family Counseling Centers | Community/Behavioral Health | 428 S Mustang Rd, Yukon, OK 73099-6754 | 2016-01-20 |
| Find all providers in YUKON | ||||
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| 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.