YCO OF OKC, INC. D/B/A YOUTHCARE OF OKLAHOMA, INC. (NPI# 1174876312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174876312 |
| Entity Type | Organization |
| Organization Name | YCO OF OKC, INC. D/B/A YOUTHCARE OF OKLAHOMA, INC. |
| Practice Address |
222 E Sheridan Ave Suite 2 Oklahoma City OK 73104-4233 |
| Practice Telephone | 4052000124 |
| Practice Fax Number | 4052700543 |
| Mailing Telephone | 4052000124 |
| Mailing Fax Number | 4052700543 |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |
| Authorized Official Name | MR. ROBERT LOBATO (CEO) |
| Authorized Official Telephone | 4052228167 |
| Authorized Official Credential | MS, MPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| Street Address |
222 E SHERIDAN AVE SUITE 2 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73104-4233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437433125 | Virginia Parrish | Specialist | 222 E Sheridan Ave, Oklahoma City, OK 73104-4233 | 2011-09-29 |
| 1952843484 | Ryan James Decoster | Behavioral Analyst | 222 E Sheridan Ave, Oklahoma City, OK 73104-4233 | 2016-11-15 |
| 1710337290 | Morgan Allen | Case Manager/Care Coordinator | 222 E Sheridan Ave, Oklahoma City, OK 73104-4233 | 2016-06-15 |
| 1588047237 | Cherjuan Yvette Goodman | Counselor | 222 E Sheridan Ave, Suite 2, Oklahoma City, OK 73104-4233 | 2015-06-30 |
| 1689080665 | Tyler Sparkman | Student in an Organized Health Care Education/Training Program | 222 E Sheridan Ave, Suite 7, Oklahoma City, OK 73104-4233 | 2014-07-10 |
| 1669809745 | Yco West, Inc Tfc | Foster Care Agency | 222 E Sheridan Ave, Suite 2, Oklahoma City, OK 73104-4233 | 2013-10-03 |
| 1518393693 | Leah Marie Logan | Counselor | 222 E Sheridan Ave, Suite 2, Oklahoma City, OK 73104-4233 | 2013-09-19 |
| 1730430067 | Yco Tulsa | Clinic/Center | 222 E Sheridan Ave, Suite 2, Oklahoma City, OK 73104-4233 | 2012-09-26 |
| 1114299534 | Cody Wayne Groves | Counselor | 222 E Sheridan Ave, Oklahoma City, OK 73104-4233 | 2012-01-31 |
| 1376813659 | Barnabas Okumu | Counselor | 222 E Sheridan Ave, Suite 2, Oklahoma City, OK 73104-4233 | 2012-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356979645 | Kayla Campbell | Dietitian, Registered | Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 | 2020-03-31 |
| 1447715453 | Roman Michael Garcia | Dentist | Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 | 2019-02-04 |
| 1265902340 | Jenna Lyn Celii | Registered Nurse | 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 | 2018-11-30 |
| 1407337462 | Opus Medical, LLC | Psychiatry & Neurology | 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 | 2018-08-27 |
| 1316433295 | Syed Muhammad Shakaib Quadri | Pathology | 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 | 2018-07-03 |
| 1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
| 1417440793 | Helen Judith Turkson Apetor | Nurse Practitioner | 700 Ne 13th, Oklahoma City, OK 73104 | 2018-06-11 |
| 1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
| 1558851220 | Bryce Yohannan | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 | 2018-05-17 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| Find all providers in zip 73104 | ||||
| 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 |
| 1124345590 | Uhs Oklahoma Ctiy, LLC | Psychiatric Residential Treatment Facility | 6501 Ne 50th St, Oklahoma City, OK 73141-9118 | 2010-04-26 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73104 |
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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.