NPIMap

Organization Active NPI

Charles B Goddard Health Center Counseling at the University of Ok

  • Adult Mental Health Clinic/Center
  • Norman, OK
National Provider Identifier
1114058070
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CHARLES B GODDARD HEALTH CENTER COUNSELING AT THE UNIVERSITY OF OK
Practice address
620 Elm Ave RM 201
Norman, OK 73019-3142
Phone
(405) 325-2911
Fax
(405) 325-1478
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Authorized official

Name
William Wayne, PHDNPI 1316078181
Title
Director
Phone
(405) 325-2700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

620 Elm Ave RM 201
Norman, OK 73019-3142

Mailing address

620 Elm Ave RM 201
Norman, OK 73019-3142
Phone (405) 325-2911

National Provider Directory

National Provider Directory
Tax ID family
Charles B Goddard Health Center Counseling at the University of Ok2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

620 Elm Ave
Rm 201
Norman, OK 73019
Phone (405) 325-2700

Practitioners & affiliated clinicians

Practitioners 11

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": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1114058070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 ELM AVE RM 201",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730193142",
            "telephone_number": "405-325-2911",
            "fax_number": "405-325-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 ELM AVE RM 201",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730193142",
            "telephone_number": "405-325-2911",
            "fax_number": "405-325-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES B GODDARD HEALTH CENTER COUNSELING AT THE UNIVERSITY OF OK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "WAYNE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "405-325-2700",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.