Organization Active NPI

Eti - Beyond the Bell

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
National Provider Identifier
1013062470
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
200056310A Issued in OK
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

Updated by the provider on Jan 6, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200056310AMedicaidOK

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.