VOLUNTEERS OF AMERICA INC., CREWSON YOUTH CENTERS (NPI# 1225030695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225030695 |
| Entity Type | Organization |
| Organization Name | VOLUNTEERS OF AMERICA INC., CREWSON YOUTH CENTERS |
| Practice Address |
4012 E 35th St Tulsa OK 74135-4528 |
| Practice Telephone | 9187496668 |
| Practice Fax Number | 9187488814 |
| Mailing Telephone | 9187496668 |
| Mailing Fax Number | 9187488814 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ERIC SACHAU (CEO) |
| Authorized Official Telephone | 9187496668 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | K8500188 | OK | Residential Treatment Facilities |
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | K8500186 | OK | Residential Treatment Facilities |
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | K8500187 | OK | Residential Treatment Facilities |
| Street Address |
4012 E 35TH ST |
| City | TULSA |
| State | OK |
| Zip Code | 74135-4528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457356560 | Tulsa County Juvenile Justice Trust Authority | Community Based Residential Treatment Facility, Mental Illness | 4012 E 35th St, Tulsa, OK 74135-4528 | 2005-06-15 |
| 1285867713 | Shadow Mountain Behavioral Health System, LLC | Psychiatric Residential Treatment Facility | 4012 E 35th St, Tulsa, OK 74135-4528 | 2009-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761590 | Dr. Whitney M. Ellsworth, Dpt, Pllc | Physical Therapist | 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 | 2020-08-20 |
| 1942839089 | Kimberly Renee Gillens | Student in an Organized Health Care Education/Training Program | 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 | 2020-04-01 |
| 1528525524 | Everest Pain Management | Clinic/Center | 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 | 2019-02-26 |
| 1326524216 | Shelley Deeann Anderson | Technician | 7359 S 68th, Tulsa, OK 74135 | 2018-07-14 |
| 1811489065 | Taylor Diane Spears | Behavioral Analyst | 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 | 2018-06-04 |
| 1225547821 | Heather Nicole Freed | Counselor | 4363 S Harvard Ave, Tulsa, OK 74135 | 2017-09-26 |
| 1306363924 | Danielle Walker | Case Manager/Care Coordinator | 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 | 2017-08-24 |
| 1346766078 | Angels Place | Day Training, Developmentally Disabled Services | 3919 S. Oswego Avenue, Tulsa, OK 74135 | 2017-08-15 |
| 1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
| 1346774197 | Brandie Herren | Registered Nurse | 6333 E Skelly Drive, Tulsa, OK 74135 | 2017-04-19 |
| Find all providers in zip 74135 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114321486 | Cedric Glenn | Community Based Residential Treatment Facility, Mental Illness | 1721 E 72nd St, 1803, Tulsa, OK 74136-5372 | 2014-10-15 |
| 1790922185 | State of Oklahoma | Community Based Residential Treatment Facility, Mental Illness | 2323 South Harvard, Tulsa, OK 74114 | 2009-01-07 |
| 1417024761 | Volunteers of America Inc. | Community Based Residential Treatment Facility, Mental Illness | 2715 E 15th St, Tulsa, OK 74104-4713 | 2006-11-30 |
| 1881760213 | Volunteers of America Inc. | Community Based Residential Treatment Facility, Mental Illness | 3931 S Oswego Ave, Tulsa, OK 74135-2428 | 2006-11-28 |
| 1457356560 | Tulsa County Juvenile Justice Trust Authority | Community Based Residential Treatment Facility, Mental Illness | 4012 E 35th St, Tulsa, OK 74135-4528 | 2005-06-15 |
| 1922440171 | Tulsa Center for Behaviour Health | Community Based Residential Treatment Facility, Mental Illness | 2323 S Harvard Ave, Tulsa, OK 74114-3301 | 2013-07-29 |
| 1982943445 | Brookhaven Hospital | Community Based Residential Treatment Facility, Mental Illness | 201 S Garnett Rd, Tulsa, OK 74128-1805 | 2013-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801321070 | April Brock | Community Based Residential Treatment Facility, Mental Illness | 106 12th Ave Ne, Miami, OK 74354-3373 | 2017-04-25 |
| 1083058523 | Mongo Allen | Community Based Residential Treatment Facility, Mental Illness | 829 Nw 142nd St, Edmond, OK 73013-1962 | 2013-04-27 |
| 1801133236 | Southeastern Oklahoma Family Services | Community Based Residential Treatment Facility, Mental Illness | 1501 N Washington Ave, Durant, OK 74701-2127 | 2013-01-04 |
| 1043595879 | Oaktree Counseling Services | Community Based Residential Treatment Facility, Mental Illness | 2104 Nw Britni Cir, Lawton, OK 73505-3121 | 2011-10-12 |
| 1790089829 | Southern Oklahoma Treatment Services | Community Based Residential Treatment Facility, Mental Illness | 5862 Us Hwy 70, Mead, OK 73449 | 2011-01-04 |
| 1285966747 | Dr. C Professional Services, Pllc | Community Based Residential Treatment Facility, Mental Illness | 7109 S Kentucky Ave, Oklahoma City, OK 73159-3427 | 2010-02-09 |
| 1881921898 | Sequoyah Residential Mental Health Facility, Inc | Community Based Residential Treatment Facility, Mental Illness | 103 N Wheeler Ave, Sallisaw, OK 74955-4617 | 2009-11-11 |
| 1558570309 | Meadow Brook Residential Care Facility | Community Based Residential Treatment Facility, Mental Illness | 1000 Meadow Lane, Howe, OK 74940 | 2007-05-21 |
| 1568580108 | Transition House, Inc. | Community Based Residential Treatment Facility, Mental Illness | 700 Asp Ave, Suite 2, Norman, OK 73069-4900 | 2007-03-26 |
| 1679665079 | Williams Counseling LLC | Community Based Residential Treatment Facility, Mental Illness | 824 Annie Court, Norman, OK 73069-4236 | 2006-09-29 |
| Find all providers with the same taxonomy | ||||
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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.