Active NPI
Eti - Beyond the Bell
- Community/Behavioral Health Agency
- Oklahoma City, OK
National Provider Identifier
1013062470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 200056310A
- Legal business name
- ETI - BEYOND THE BELL
- Practice address
- 245 W Wilshire Blvd
Suite a
Oklahoma City, OK 73116-7754 - Phone
- (405) 286-3900
- Fax
- (405) 286-3911
- NPI assigned
- Jan 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Myron Mayberry
- Title
- Assistant Director
- Phone
- (405) 286-3900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 200056310A | OK | Primary |
Addresses
Primary practice location
245 W Wilshire Blvd
Suite a
Oklahoma City, OK 73116-7754
Mailing address
245 W Wilshire Blvd
Suite a
Oklahoma City, OK 73116-7754
Phone (405) 286-3900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200056310A | Medicaid | OK |
National Provider Directory
National Provider DirectoryLocations
245 W Wilshire Blvd
Ste A
Oklahoma City, OK 73116
Phone (405) 286-3900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325808000000",
"number": "1013062470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 W WILSHIRE BLVD",
"address_2": "SUITE A",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731167754",
"telephone_number": "405-286-3900",
"fax_number": "405-286-3911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 W WILSHIRE BLVD",
"address_2": "SUITE A",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731167754",
"telephone_number": "405-286-3900",
"fax_number": "405-286-3911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ETI - BEYOND THE BELL",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-24",
"last_updated": "2012-01-06",
"status": "A",
"authorized_official_last_name": "MAYBERRY",
"authorized_official_first_name": "MYRON",
"authorized_official_title_or_position": "ASSISTANT DIRECTOR",
"authorized_official_telephone_number": "405-286-3900",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "OK",
"license": "200056310A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200056310A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.