NPIMap

Organization Active NPI

Developmental Assessment & Intervention Center

  • Mental Health Counselor
  • Ardmore, OK
National Provider Identifier
1003005943
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1730 Issued in OK
Legal business name
DEVELOPMENTAL ASSESSMENT & INTERVENTION CENTER
Practice address
301 West Main
Suite 324
Ardmore, OK 73401-6322
Phone
(580) 226-9222
Fax
(580) 226-9226
NPI assigned
Oct 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Brenda K Ulrich, LPC
Title
President
Phone
(580) 226-9222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 1730 OK Primary

Addresses

Primary practice location

301 West Main
Suite 324
Ardmore, OK 73401-6322

Mailing address

301 West Main
Suite 324
Ardmore, OK 73401-6322
Phone (580) 226-9222

Other names 1

  • The DAI Center Doing business as

National Provider Directory

National Provider Directory

Locations

301 W Main St
Ste 324
Ardmore, OK 73401
Phone (580) 222-7156

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1003005943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 WEST MAIN",
            "address_2": "SUITE 324",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734016322",
            "telephone_number": "580-226-9222",
            "fax_number": "580-226-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WEST MAIN",
            "address_2": "SUITE 324",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734016322",
            "telephone_number": "580-226-9222",
            "fax_number": "580-226-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL ASSESSMENT & INTERVENTION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "ULRICH",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-226-9222",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "1730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The DAI Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ardmore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.