SEQUEL OF OKLAHOMA, LLC (NPI# 1306964077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306964077 |
| Entity Type | Organization |
| Organization Name | SEQUEL OF OKLAHOMA, LLC |
| Other Organization Name | ROSE ROCK ACADEMY |
| Practice Address |
3301 N Martin Luther King Avenue Oklahoma City OK 73111-4216 |
| Practice Telephone | 4055481280 |
| Practice Fax Number | 4055481299 |
| Mailing Telephone | 4055481280 |
| Mailing Fax Number | 4055481299 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2012-06-28 |
| Authorized Official Name | MS. DIANE E. BEDELL (EXECUTIVE DIRECTOR/DON) |
| Authorized Official Telephone | 4054173341 |
| Authorized Official Credential | RN MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities | ||
| Y | 323P00000X | Psychiatric Residential Treatment Facility | K850000367 | OK | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200106860B | 05 |
| Other Name | Type Code |
|---|---|
| Rose Rock Academy | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Sequel of Oklahoma, LLC | 1131 Eagletree Lane, Huntsville, AL 35801 |
| Street Address |
3301 N MARTIN LUTHER KING AVENUE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73111-4216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689114779 | Brandi N Ridley | Counselor | 3621 N. Kelley Ave Ste. 100, Oklahoma City, OK 73111 | 2017-03-08 |
| 1790134708 | Raymond Arthur Smith Jr. | Counselor | 2329 Nw 111th, Oklahoma, OK 73111 | 2016-06-09 |
| 1124485263 | Oklahoma City County Health Department | Public Health or Welfare | 2700 Ne 63rd Street, Oklahoma City, OK 73111 | 2016-01-20 |
| 1528438710 | Brendel Lacey | Case Manager/Care Coordinator | 3017 N Martin Luther King Avenue, Oklahoma City, OK 73111 | 2015-09-30 |
| 1194108746 | Mary Margaret Mcmiller | Social Worker | 2700 Ne 63rd St, Oklahoma City, OK 73111 | 2015-07-01 |
| 1386037349 | Michelle Patrick | Counselor | 2525 Nw Expressway Suite 531, Building Up People Behavioral Health Service, Oklahoma, OK 73111 | 2015-03-13 |
| 1154764173 | Ne Wellness Community Health Clinic | Clinic/Center | 2600 Ne 63rd Street, Oklahoma City, OK 73111 | 2013-04-09 |
| 1033458070 | Mary Boyles | Case Manager/Care Coordinator | 1732 N Kelly, Oklahoma, OK 73111 | 2013-02-12 |
| 1427312164 | Sharonda Lavon Bowie | Counselor | 1328 Ne 53rd St, Oklahoma City, OK 73111 | 2012-06-27 |
| 1598029373 | Michael Brown | Counselor | 4413 Rock Island Circle, Oklahoma City, OK 73111 | 2012-06-27 |
| Find all providers in zip 73111 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 | 73111 |
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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.