Sertoma Handicapped Opportunity Program

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

SERTOMA HANDICAPPED OPPORTUNITY PROGRAM

Practice address

222 S Memorial Dr
Tulsa, OK 74112-2202

Phone

(918) 835-7467

Fax

(918) 835-3274

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Derick Neal Mason

Title

Director of Vocational Services

Phone

(918) 835-7467

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023133063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S MEMORIAL DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741122202",
            "telephone_number": "918-835-7467",
            "fax_number": "918-835-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S MEMORIAL DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741122202",
            "telephone_number": "918-835-7467",
            "fax_number": "918-835-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERTOMA HANDICAPPED OPPORTUNITY PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "DERICK",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "DIRECTOR OF VOCATIONAL SERVICES",
        "authorized_official_telephone_number": "918-835-7467",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Developmentally Disabled Services Day Training Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.