NPIMap

Organization Active NPI

The Amethyst House, Inc

  • Children's Substance Abuse Rehabilitation Facility
  • Altus, OK
National Provider Identifier
1083349203
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
Legal business name
THE AMETHYST HOUSE, INC
Practice address
218 W Cypress St
Altus, OK 73521-3713
Phone
(580) 481-8760
NPI assigned
Jul 21, 2022
Last updated
Jul 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Authorized official

Name
Staci Kirby
Title
Director
Phone
(580) 481-8760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X NU Primary

Addresses

Primary practice location

218 W Cypress St
Altus, OK 73521-3713

Mailing address

PO Box 16
Altus, OK 73522-0016
Phone (580) 481-8760

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL staci.amethyst@gmail.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1083349203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735220016",
            "telephone_number": "580-481-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 W CYPRESS ST",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735213713",
            "telephone_number": "580-481-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE AMETHYST HOUSE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "STACI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "580-481-8760"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "staci.amethyst@gmail.com",
            "affiliation": "N",
            "endpointDescription": "staci.amethyst@gmail.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "218 W Cypress St",
            "city": "Altus",
            "state": "OK",
            "country_code": "US",
            "postal_code": "735213713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Altus, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.