NPIMap

Organization Active NPI

Sisu Youth, Inc.

Doing business as Sisu Youth Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oklahoma City, OK
National Provider Identifier
1174385900
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SISU YOUTH, INC.
Doing business as
Sisu Youth Services
Practice address
2129 NW 30TH St
Oklahoma City, OK 73112-7901
Phone
(405) 459-7478
NPI assigned
Jan 26, 2024
Last updated
Jan 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Authorized official

Name
Mrs. Meagan Kaye Mathis, LPCNPI 1033500863
Title
Clinical Services Manager
Phone
(405) 589-5709

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

2129 NW 30TH St
Oklahoma City, OK 73112-7901

Mailing address

3131 N Pennsylvania Ave
Oklahoma City, OK 73112-7931
Phone (405) 589-5709

Other names 1

  • Sisu Youth Services Doing business as

National Provider Directory

National Provider Directory

Locations

2129 NW 30th St
Oklahoma City, OK 73112
Phone (405) 459-0009

3131 N Pennsylvania Ave
Oklahoma City, OK 73112
Phone (405) 459-7478

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": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1174385900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 N PENNSYLVANIA AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731127931",
            "telephone_number": "405-589-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2129 NW 30TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731127901",
            "telephone_number": "405-459-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISU YOUTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "MEAGAN",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "CLINICAL SERVICES MANAGER",
        "authorized_official_telephone_number": "405-589-5709",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sisu Youth Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

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