NPIMap

Organization Active NPI

Millennium Community Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Enid, OK
National Provider Identifier
1013309616
Registry record updated Aug 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MILLENNIUM COMMUNITY SERVICES LLC
Practice address
312 N Van Buren St
Enid, OK 73703-4500
Phone
(580) 297-5125
Fax
(580) 297-5126
NPI assigned
Feb 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2019

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

Authorized official

Name
Dr. Wade L Hamil, PHDNPI 1750311247
Title
Ceo
Phone
(405) 573-9905

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

312 N Van Buren St
Enid, OK 73703-4500

Mailing address

3816 Shadowridge Dr
Norman, OK 73072-5308
Phone (888) 573-7792

Other identifiers 1

IdentifierTypeStateIssuer
200129170FMedicaidOK

National Provider Directory

National Provider Directory
Tax ID family
Millennium Community Services LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

312 N Van Buren St
Enid, OK 73703
Phone (580) 297-5125

Practitioners & affiliated clinicians

Practitioners 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565481600000",
    "number": "1013309616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 SHADOWRIDGE DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730725308",
            "telephone_number": "888-573-7792",
            "fax_number": "888-753-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 N VAN BUREN ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737034500",
            "telephone_number": "580-297-5125",
            "fax_number": "580-297-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM COMMUNITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-19",
        "last_updated": "2019-08-11",
        "status": "A",
        "authorized_official_last_name": "HAMIL",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-573-9905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200129170F",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2019; 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.