STATE OF OKLAHOMA (NPI# 1720152788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720152788 |
| Entity Type | Organization |
| Organization Name | STATE OF OKLAHOMA |
| Practice Address |
702 N. Grand Northwest Center for Behavioral Health Enid OK 73701 |
| Mailing Address |
1222 10th Street, Suite 211 Northwest Center for Behavioral Health Woodward OK 73801-3156 |
| Practice Telephone | 5802343791 |
| Practice Fax Number | 5802377711 |
| Mailing Telephone | 5805713217 |
| Mailing Fax Number | 5802568609 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2013-02-27 |
| Authorized Official Name | TRUDY HOFFMAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5805713233 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100646280D | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225352057 | State of Oklahoma | Community/Behavioral Health | 400 North Oak, Taft, OK 74463 | 2010-03-23 |
| 1790922185 | State of Oklahoma | Community Based Residential Treatment Facility, Mental Illness | 2323 South Harvard, Tulsa, OK 74114 | 2009-01-07 |
| 1124286059 | State of Oklahoma | Pharmacy | 304 Fairlane Ave, Sulphur, OK 73086-6861 | 2008-05-28 |
| 1154589430 | State of Oklahoma | Skilled Nursing Facility | 10014 Se 1138th Street, Talihina, OK 74571-6028 | 2008-05-23 |
| 1225295710 | State of Oklahoma | Skilled Nursing Facility | 1701 South 4th, Clinton, OK 73601-1209 | 2008-05-21 |
| 1881872182 | State of Oklahoma | Skilled Nursing Facility | 900 E. Airport Rd., Okmulgee, OK 74447 | 2008-02-08 |
| 1750456588 | State of Oklahoma | Community/Behavioral Health | 1222 10th Street, Suite 211, Northwest Center for Behavioral Health, Woodward, OK 73801-3156 | 2006-11-20 |
| 1700950201 | State of Oklahoma | Substance Abuse Rehabilitation Facility | 5050 Williams Avenue, Northwest Center for Behavioral Health, Woodward, OK 73801 | 2006-11-17 |
| 1922171701 | State of Oklahoma | Psychiatric Hospital | 1 Mile East U.S. Highway 270, Fort Supply, OK 73841-0001 | 2006-11-17 |
| 1437222734 | State of Oklahoma | Community/Behavioral Health | 604 Choctaw, Northwest Center for Behavioral Health, Alva, OK 73717 | 2006-11-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | STATE OF OKLAHOMA EAST CENTRAL UNIVERSITY | 1100 E 14th St, Ada, OK 74820-6999 |
| Street Address |
702 N. GRAND NORTHWEST CENTER FOR BEHAVIORAL HEALTH |
| City | ENID |
| State | OK |
| Zip Code | 73701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912171166 | Kelly D Davie | Counselor | 702 N. Grand, Northwest Center for Behavioral Health, Enid, OK 73701 | 2008-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407318595 | Sheila Watkins | Speech-Language Pathologist | 401 S. 3rd St, Physical Therapy, Enid, OK 73701 | 2019-04-05 |
| 1225548993 | Mirannda Lea Shourek | Case Manager/Care Coordinator | 3225 E Randolph, Apt 5a, Enid, OK 73701 | 2017-10-06 |
| 1962942045 | Nicole Elisibeth Hood | Social Worker | 605 W. Oxford St, Enid, OK 73701 | 2017-03-08 |
| 1689027237 | Amanda Partridge | Physician Assistant | 231 S. 30th St., Enid, OK 73701 | 2016-07-19 |
| 1134576952 | Keli Lanee Caffey | Counselor | 317 W. Cherokee Suite B, Enid, OK 73701 | 2016-05-22 |
| 1447670559 | Tamica Webster | Counselor | 1137 Hillside Dr, Enid, OK 73701 | 2014-04-16 |
| 1881024024 | Misty Ward | Registered Nurse | 600 S. Monroe, Enid, OK 73701 | 2013-11-26 |
| 1164856944 | Pharmcareok of Enid, Inc. | Pharmacy | 1119a E Owen Garriott Rd, Enid, OK 73701 | 2013-08-28 |
| 1922383421 | Bobby Doyle Taylor | Pharmacist | 902 West Garriott, Enid, OK 73701 | 2011-10-15 |
| 1194009324 | Stacia Paul | Counselor | 121 W. Maple, Enid, OK 73701 | 2011-10-06 |
| Find all providers in zip 73701 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063962215 | Shamrock Counseling Services LLP | Community/Behavioral Health | 718 W Broadway Ave, Suite 5, Enid, OK 73701-3819 | 2016-10-12 |
| 1184822025 | Oklahoma Addiction Specialists Inc Services | Community/Behavioral Health | 404 N Grand, Enid, OK 73701-3215 | 2007-07-03 |
| 1053430231 | Youth and Family Services of North Central Oklahoma, Inc. | Community/Behavioral Health | 2925 Midway St, Enid, OK 73701-1256 | 2007-03-28 |
| 1609991009 | Youth and Family Services of North Central Oklahoma, Inc. | Community/Behavioral Health | 1710 W Willow Rd, Enid, OK 73703-2438 | 2007-03-21 |
| 1992847032 | Associated Therapeutic Services | Community/Behavioral Health | 1625 W Owen K Garriott Rd Ste F, Enid, OK 73703-5653 | 2007-02-13 |
| 1477600427 | Youth and Family Services of North Central Oklahoma Inc | Community/Behavioral Health | 605 W. Oxford, Enid, OK 73701-1256 | 2007-01-04 |
| 1073973566 | Solutions for Life | Community/Behavioral Health | 1202 W Willow Rd, Enid, OK 73703-2530 | 2016-02-26 |
| 1720330012 | Enid Counseling and Diagnostic | Community/Behavioral Health | 230 W Maple Ave, Enid, OK 73701-4012 | 2012-10-10 |
| 1003173691 | Making A Difference Inc. | Community/Behavioral Health | 210 E Maple Ave, Enid, OK 73701-4114 | 2012-04-19 |
| 1043586324 | Choices Institute | Community/Behavioral Health | 529 N Grand St, Enid, OK 73701-3216 | 2012-03-30 |
| Find all providers in ENID | ||||
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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.