UHS OKLAHOMA CTIY, LLC (NPI# 1124345590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124345590 |
| Entity Type | Organization |
| Organization Name | UHS OKLAHOMA CTIY, LLC |
| Other Organization Name | CEDAR RIDGE ADOLESCENT RTC |
| Practice Address |
6501 Ne 50th St Oklahoma City OK 73141-9118 |
| Practice Telephone | 4056056111 |
| Practice Fax Number | 4054240457 |
| Mailing Telephone | 4056056111 |
| Mailing Fax Number | 4054240457 |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2010-04-26 |
| Authorized Official Name | JOHN A. HOLTER (CEO) |
| Authorized Official Telephone | 40560561111 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | K8500000368 | OK | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200085660E | 05 |
| Other Name | Type Code |
|---|---|
| Cedar Ridge Adolescent RTC | Other Name - Individual/Organization |
| Street Address |
6501 NE 50TH ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73141-9118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598716490 | Uhs Oklahoma City LLC | Psychiatric Hospital | 6501 Ne 50th St, Oklahoma City, OK 73141-9118 | 2006-05-15 |
| 1659903300 | Aspen Zermeno | Case Manager/Care Coordinator | 6501 Ne 50th St, Oklahoma City, OK 73141-9118 | 2020-02-11 |
| 1750754834 | Theresa Zambino | Case Manager/Care Coordinator | 6501 Ne 50th St, Oklahoma City, OK 73141-9118 | 2015-11-11 |
| 1447505151 | Cedar Ridge | Psychiatric Hospital | 6501 Ne 50th St, Oklahoma City, OK 73141-9118 | 2012-07-18 |
| 1629342027 | Dustin Baker Md PC | Family Medicine | 6501 Ne 50th St, Oklahoma City, OK 73141-9118 | 2012-03-02 |
| 1083985600 | Uhs Oklahoma City LLC | Physician Assistant | 6501 Ne 50th St, Oklahoma City, OK 73141-9118 | 2012-01-13 |
| 1609193135 | Cedar Ridge Hospital | Residential Treatment Facility, Emotionally Disturbed Children | 6501 Ne 50th St, Oklahoma City, OK 73141-9118 | 2010-04-23 |
| 1720250913 | Uhs Oklahoma City LLC | General Acute Care Hospital | 6501 Ne 50th St, Oklahoma City, OK 73141-9118 | 2008-03-27 |
| 1588836779 | Uhs Oklahoma City, LLC | Psychiatric Residential Treatment Facility | 6501 Ne 50th St, Oklahoma City, OK 73141-9118 | 2008-03-27 |
| 1609051440 | Tanya Mattek | Social Worker | 6501 Ne 50th St, Oklahoma City, OK 73141-9118 | 2007-12-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225329022 | Katawna J Stephens | Behavioral Analyst | 9816 Mark Trail, Oklahoma City, OK 73141 | 2011-04-27 |
| 1023315058 | Chantal Z Wandick | Counselor | 5915 Ne 63rd, Oklahoma City, OK 73141 | 2011-02-28 |
| 1518121342 | Professional Dental Services Inc | Dentist | 9822 Ne 23rd, Oklahoma City, OK 73141 | 2008-07-10 |
| 1346358215 | Dr Karen B Rattan & Assoc P.C. | Dentist | 10420 Ne 23rd Street, Oklahoma City, KS 73141 | 2006-08-29 |
| 1508960899 | David George Hall | Pharmacist | 12716 N.e. 36th Street, Oklahoma City, OK 73141 | 2006-09-08 |
| 1225345408 | Crutcho School District | Local Education Agency (LEA) | 2401 N Air Depot Blvd, Oklahoma City, OK 73141-1407 | 2010-09-09 |
| 1902918915 | Oklahoma County Clinic Phcy | Pharmacy | 7401 Ne 23rd St, Oklahoma City, OK 73141-1420 | 2006-08-31 |
| 1174156566 | Damion Dwan Gilbreath I | Counselor | 7401 Ne 23rd St, Oklahoma City, OK 73141-1420 | 2020-02-13 |
| 1811520208 | Dangelo Mccorvey | Counselor | 7401 Ne 23rd St, Oklahoma City, OK 73141-1420 | 2020-02-13 |
| 1326670027 | Marcus Deshon Flynn | Counselor | 7401 Ne 23rd St, Oklahoma City, OK 73141-1420 | 2020-02-10 |
| Find all providers in zip 73141 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306964077 | Sequel of Oklahoma, LLC | Psychiatric Residential Treatment Facility | 3301 N Martin Luther King Avenue, Oklahoma City, OK 73111-4216 | 2007-03-27 |
| 1508291055 | Larry J Coffman Sr. | Psychiatric Residential Treatment Facility | 4020 N Lincoln Blvd Ste 100, Oklahoma City, OK 73105-5201 | 2013-09-03 |
| 1174876312 | Yco of Okc, Inc. D/b/a Youthcare of Oklahoma, Inc. | Psychiatric Residential Treatment Facility | 222 E Sheridan Ave, Suite 2, Oklahoma City, OK 73104-4233 | 2012-10-25 |
| 1588836779 | Uhs Oklahoma City, LLC | Psychiatric Residential Treatment Facility | 6501 Ne 50th St, Oklahoma City, OK 73141-9118 | 2008-03-27 |
| 1336248269 | Ssm Health Care of Oklahoma, Inc. | Psychiatric Residential Treatment Facility | 1000 N Lee Ave, Oklahoma City, OK 73102 | 2006-09-21 |
| 1336243377 | Ssm Health Care of Oklahoma, Inc. | Psychiatric Residential Treatment Facility | 1000 N Lee Ave, Oklahoma City, OK 73102 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053853655 | Brittany Jones | Psychiatric Residential Treatment Facility | 1707 Oak Ln, Miami, OK 74354-1429 | 2016-11-14 |
| 1376905976 | Kls Care Centers | Psychiatric Residential Treatment Facility | 17364 State Highway 9, Norman, OK 73072-8732 | 2016-03-23 |
| 1811370471 | William S, Davies, M.d., Inc. | Psychiatric Residential Treatment Facility | 1302 N, W, Lake Ave, Lawton, OK 73507 | 2015-07-01 |
| 1750719886 | Marylee Gaskins | Psychiatric Residential Treatment Facility | 302 E 19th St, Owasso, OK 74055-4612 | 2013-10-29 |
| 1174898852 | Domonique Montrell Lugrand | Psychiatric Residential Treatment Facility | 2220 S Santa Fe Apt 105, Moore, OK 73160-5238 | 2012-03-14 |
| 1447521885 | Childrens Eecovery Center | Psychiatric Residential Treatment Facility | 2220 S Santa Fe Ave Apt 105, Moore, OK 73160-2866 | 2012-01-17 |
| 1144527227 | Riverside Behavioral Health | Psychiatric Residential Treatment Facility | 4618 S 31st West Ave, Tulsa, OK 74107-7532 | 2011-02-25 |
| 1760782882 | Lori Suzanne Frock | Psychiatric Residential Treatment Facility | 66 Overland Rt, Ardmore, OK 73401 | 2010-10-22 |
| 1215261086 | Brenda Sue Mathis | Psychiatric Residential Treatment Facility | 4034 W Roanoke Pl, Broken Arrow, OK 74011-1327 | 2009-09-28 |
| 1346424363 | Southern Plains Treatment Services | Psychiatric Residential Treatment Facility | 310 12th Ave Ne, Norman, OK 73071-5238 | 2007-12-27 |
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| City | OKLAHOMA CITY |
| Zip Code | 73141 |
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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.