CHILDRENS' RECOVERY CENTER OF OKLAHOMA (NPI# 1437321882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437321882 |
| Entity Type | Organization |
| Organization Name | CHILDRENS' RECOVERY CENTER OF OKLAHOMA |
| Practice Address |
320 12th Ave Ne Norman OK 73071-5238 |
| Mailing Address |
Po Box 151 Attn: Gmh Finance Norman OK 73070-0151 |
| Practice Telephone | 4055733811 |
| Practice Fax Number | 4055733960 |
| Mailing Telephone | 4055733945 |
| Mailing Fax Number | 4055733960 |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2018-01-23 |
| Authorized Official Name | MRS. TERESA O CAPPS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4055733811 |
| Authorized Official Credential | MED LPC CM |
| Is Organization Subpart | Y |
| Parent Organization Name | OKLAHOMA YOUTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
| N | 283Q00000X | Psychiatric Hospital | Hospitals | ||
| Y | 323P00000X | Psychiatric Residential Treatment Facility | K8500110 | OK | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100688950A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881716900 | Childrens' Recovery Center of Oklahoma | Community/Behavioral Health | 320 12th Ave Ne, Norman, OK 73071-5238 | 2007-04-06 |
| 1770674756 | Childrens' Recovery Center of Oklahoma | Clinic/Center | 320 12th Ave Ne, Norman, OK 73071-5238 | 2006-09-27 |
| Street Address |
320 12TH AVE NE |
| City | NORMAN |
| State | OK |
| Zip Code | 73071-5238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952379208 | Lauri J Kearns | Psychiatry & Neurology | 320 12th Ave Ne, Norman, OK 73071-5238 | 2006-03-12 |
| 1124637400 | Ti'anca Mock | Case Manager/Care Coordinator | 320 12th Ave Ne, Norman, OK 73071-5238 | 2020-07-23 |
| 1124640180 | Alexsandra Lynn Porter | Counselor | 320 12th Ave Ne, Norman, OK 73071-5238 | 2020-05-13 |
| 1558884692 | Jennifer L Robertson | Social Worker | 320 12th Ave Ne, Norman, OK 73071-5238 | 2017-07-20 |
| 1780077529 | Cindy Hanska | Counselor | 320 12th Ave Ne, Norman, OK 73071-5238 | 2015-03-17 |
| 1942540398 | Jacob Russell | Specialist/Technologist, Other | 320 12th Ave Ne, Norman, OK 73071-5238 | 2013-02-21 |
| 1609125293 | Jeffery Clint Mackey | Social Worker | 320 12th Ave Ne, Norman, OK 73071-5238 | 2012-08-29 |
| 1942597612 | Leesa Marie Meadows Gunns | Case Manager/Care Coordinator | 320 12th Ave Ne, Norman, OK 73071-5238 | 2011-07-01 |
| 1285927236 | Brenda Joy Rommann | Social Worker | 320 12th Ave Ne, Norman, OK 73071-5238 | 2011-05-24 |
| 1720397938 | Deidre T. Alexander | Social Worker | 320 12th Ave Ne, Norman, OK 73071-5238 | 2010-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913741 | Jeanne Marie Tomlinson | Occupational Therapist | 2701 Weymouth Way, Norman, OK 73071 | 2020-08-21 |
| 1780215947 | Denise Kay Kliewer | Occupational Therapy Assistant | 1412 Spoonwood Dr, Norman, OK 73071 | 2020-01-27 |
| 1689182511 | Eric Melvin Green | Case Manager/Care Coordinator | 2038 24th Ave. Se, Norman, OK 73071 | 2018-01-12 |
| 1841726320 | Summer Dental Norman | Dentist | 1240 Alameda St., Norman, OK 73071 | 2017-05-03 |
| 1336503606 | Full Circle Adult Day Center, Inc | Clinic/Center | 1304 E. Lindsey Plaza Drive, Norman, OK 73071 | 2016-04-12 |
| 1538524616 | Ashley White | Case Manager/Care Coordinator | 805 East Robinson, Norman, OK 73071 | 2015-12-16 |
| 1396119111 | Joseph Fleming Pllc | Dentist | 1515 E. Rock Creek Road, Suite 140, Norman, OK 73071 | 2015-11-17 |
| 1881025104 | Jill Blayney | Counselor | 909 Alameda, # 2607, Norman, OK 73071 | 2013-12-12 |
| 1578800504 | Cherie Albert | Counselor | 900 E Alameda, Norman, OK 73071 | 2013-01-10 |
| 1437430618 | Rose Rock Dental Pllc | Dentist | 1049 12th Ave. Ne, Suite 100, Norman, OK 73071 | 2011-09-01 |
| Find all providers in zip 73071 | ||||
| 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 |
|---|---|---|---|---|
| 1376905976 | Kls Care Centers | Psychiatric Residential Treatment Facility | 17364 State Highway 9, Norman, OK 73072-8732 | 2016-03-23 |
| 1346424363 | Southern Plains Treatment Services | Psychiatric Residential Treatment Facility | 310 12th Ave Ne, Norman, OK 73071-5238 | 2007-12-27 |
| 1467525105 | Agency for Youth and Family Development | Psychiatric Residential Treatment Facility | 3400 Deskin Dr, Norman, OK 73069-8295 | 2006-11-17 |
| 1376933796 | Mbh of Oklahoma, LLC | Psychiatric Residential Treatment Facility | 3400 Deskin Dr, Norman, OK 73069-8295 | 2015-01-24 |
| 1245469402 | Edwin E. Hill | Psychiatric Residential Treatment Facility | 900 N Porter Ave, Suite 200, Norman, OK 73071-6425 | 2009-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053853655 | Brittany Jones | Psychiatric Residential Treatment Facility | 1707 Oak Ln, Miami, OK 74354-1429 | 2016-11-14 |
| 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 |
| 1346461688 | Parkside, Inc. | Psychiatric Residential Treatment Facility | 1619 E 13th St, Tulsa, OK 74120-5410 | 2007-05-02 |
| 1164643409 | Parkside, Inc. | Psychiatric Residential Treatment Facility | 1220 S Trenton Ave, Tulsa, OK 74120-5421 | 2007-05-02 |
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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.