Red Rock Behavioral Health

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2947 Issued in OK

Legal business name

RED ROCK BEHAVIORAL HEALTH

Practice address

4400 N Lincoln Blvd
Oklahoma City, OK 73105-5104

Phone

(405) 424-7711

Fax

(405) 425-0477

NPI assigned

Aug 11, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Dorothy Shewmaker, LCSW

Title

Credentialing Manager

Phone

(405) 424-7711

Specialties & licenses 1

Addresses

Other names 1

• North Care Center Other name

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063424042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3112 NW 22ND ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731073018",
            "telephone_number": "405-425-0485",
            "fax_number": "405-425-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 N LINCOLN BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731055104",
            "telephone_number": "405-424-7711",
            "fax_number": "405-425-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED ROCK BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEWMAKER",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "405-424-7711",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "2947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Care Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Professional Counselor in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Professional Counselor 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.