Organization Active NPI

Tabor Behavioral Health LLC

  • Psychiatry Physician
  • Ardmore, OK
National Provider Identifier
1164062253
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
TABOR BEHAVIORAL HEALTH LLC
Practice address
2615 Ridgeway St
Ardmore, OK 73401-2901
Phone
(405) 822-7151
NPI assigned
Jan 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Authorized official

Name
Aaron Tabor, MD
Title
Owner
Phone
(405) 822-7151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

2615 Ridgeway St
Ardmore, OK 73401-2901

Mailing address

2615 Ridgeway St
Ardmore, OK 73401-2901
Phone (405) 822-7151

National Provider Directory

National Provider Directory

Locations

1108 Walnut Dr
Ardmore, OK 73401
Phone (580) 657-3732

NPI Registry JSON

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1164062253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 RIDGEWAY ST",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012901",
            "telephone_number": "405-822-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 RIDGEWAY ST",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012901",
            "telephone_number": "405-822-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABOR BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-07",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "TABOR",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-822-7151",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.