RED ROCK BEHAVIORAL HEALTH SERVICES (NPI# 1447673819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447673819 |
| Entity Type | Organization |
| Organization Name | RED ROCK BEHAVIORAL HEALTH SERVICES |
| Practice Address |
4130 N Lincoln Blvd Oklahoma City OK 73105-5209 |
| Mailing Address |
2201 Nw 122nd St Apt 2017 Oklahoma City OK 73120-8414 |
| Practice Telephone | 4054640247 |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-01-21 |
| Authorized Official Name | MR. MICHAEL CARR JR. (CARE COORDINATOR) |
| Authorized Official Telephone | 8179946744 |
| Authorized Official Credential | BA, CMII |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740323245 | Red Rock Behavioral Health Services | Psychiatric Hospital | 4404 North Lincoln, Oklahoma City, OK 73105-5105 | 2007-02-14 |
| 1982213633 | Red Rock Behavioral Health Services | Community Health Worker | 3080 W 3rd St, Elk City, OK 73644-4323 | 2020-07-29 |
| 1538618772 | Red Rock Behavioral Health Services | Community/Behavioral Health | 107 N Main St, Kingfisher, OK 73750-2720 | 2016-09-29 |
| 1386801272 | Red Rock Behavioral Health Services | Psychiatric Unit | 70 N 31st St, Clinton, OK 73601-9116 | 2008-05-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Red Rock Behavioral Health Services | 4400 N Lincoln Blvd, Oklahoma City, OK 73105 |
| Street Address |
4130 N LINCOLN BLVD |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73105-5209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235334707 | Michelle Eileen Butts | Counselor | 4130 N Lincoln Blvd, Oklahoma City, OK 73105-5209 | 2007-06-15 |
| 1124633482 | Marcie D Francis-morphew | Case Manager/Care Coordinator | 4130 N Lincoln Blvd, Oklahoma City, OK 73105-5209 | 2020-09-14 |
| 1700496163 | Malori Gales | Social Worker | 4130 N Lincoln Blvd, Oklahoma City, OK 73105-5209 | 2020-07-31 |
| 1538795091 | Clay Mattox | Counselor | 4130 N Lincoln Blvd, Oklahoma City, OK 73105-5209 | 2020-03-17 |
| 1962048504 | Tia Nicole Briggs | Counselor | 4130 N Lincoln Blvd, Oklahoma City, OK 73105-5209 | 2019-11-19 |
| 1740822931 | Marinelle Abuluyan Rowell | Counselor | 4130 N Lincoln Blvd, Oklahoma City, OK 73105-5209 | 2019-10-09 |
| 1720638901 | Anna Elizabeth Pitzer | Behavioral Analyst | 4130 N Lincoln Blvd, Oklahoma City, OK 73105-5209 | 2019-09-18 |
| 1104383157 | Julie Dawkins Mccarty | Counselor | 4130 N Lincoln Blvd, Oklahoma City, OK 73105-5209 | 2019-02-26 |
| 1548734684 | Risa Lenae Hudson | Student in an Organized Health Care Education/Training Program | 4130 N Lincoln Blvd, Oklahoma City, OK 73105-5209 | 2019-01-11 |
| 1861965634 | Juliette Yvette Alvarado | Counselor | 4130 N Lincoln Blvd, Oklahoma City, OK 73105-5209 | 2019-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795253 | Darrell Lynn Nowlin | Student in an Organized Health Care Education/Training Program | 4400 North Lincoln Boluvard, Oklahoma City, OK 73105 | 2020-09-21 |
| 1104468834 | Inas Z. Yacoub | Pathology | 921 N.e. 23rd St., Okc, OK 73105 | 2019-10-15 |
| 1861988495 | Grant Weirich | Registered Nurse | 4420 N Lincoln, Oklahoma City, OK 73105 | 2018-07-06 |
| 1073043865 | Joseph W Lee I | Case Manager/Care Coordinator | 2701 N. Oklahoma Ave, Oklahoma City, OK 73105 | 2017-06-14 |
| 1356886840 | Melissa Thompson | Counselor | 4130 N. Lincoln Blvd, Oklahoma City, OK 73105 | 2016-12-20 |
| 1285093484 | Dianne Gray | Student in an Organized Health Care Education/Training Program | 440- N. Lincoln Blvd, Oklahoma City, OK 73105 | 2016-02-16 |
| 1124392600 | Ricki Kelley | Counselor | 330 Ne 59th St., Oklahoma City, OK 73105 | 2012-03-01 |
| 1962770727 | Lakisha Murray | Counselor | 4400 N Lincoln, Oklahoma City, OK 73105 | 2011-12-08 |
| 1760700827 | Deborah Proctor | Counselor | 321 North East 28th, Suite #101, Oklahoma City, OK 73105 | 2010-05-13 |
| 1548588791 | Raganda Washington | Counselor | 321 N.e. 28th, Suite 101, Okc, OK 73105 | 2010-05-12 |
| Find all providers in zip 73105 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1427423565 | Occic | Community Based Residential Treatment Facility, Mental Illness | 2625 General Pershing Boulevard, Oklahoma City, OK 73107 | 2015-12-01 |
| 1053687780 | Community Couseling Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1700 Nw 17th St, Oklahoma City, OK 73106-4212 | 2012-03-27 |
| 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 |
| 1114321486 | Cedric Glenn | Community Based Residential Treatment Facility, Mental Illness | 1721 E 72nd St, 1803, Tulsa, OK 74136-5372 | 2014-10-15 |
| 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 |
| 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 |
| 1790922185 | State of Oklahoma | Community Based Residential Treatment Facility, Mental Illness | 2323 South Harvard, Tulsa, OK 74114 | 2009-01-07 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73105 |
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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.