Organization Active NPI

The Ark Mental Health Trauma Center

Doing business as None Provided

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chickasha, OK
National Provider Identifier
1184488801
Registry record updated Feb 13, 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
THE ARK MENTAL HEALTH TRAUMA CENTER
Doing business as
None Provided
Practice address
1812 S 7TH St
Chickasha, OK 73018-5712
Phone
(580) 483-2873
NPI assigned
Feb 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
Karen Sue Evanson, MEDNPI 1952611576
Title
Owner
Phone
(580) 483-2873

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 Primary

Addresses

Primary practice location

1812 S 7TH St
Chickasha, OK 73018-5712

Mailing address

1812 S 7TH St
Chickasha, OK 73018-5712
Phone (580) 483-2873

Other names 1

  • None Provided Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1184488801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 S 7TH ST",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730185712",
            "telephone_number": "580-483-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 S 7TH ST",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730185712",
            "telephone_number": "580-483-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARK MENTAL HEALTH TRAUMA CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "EVANSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-483-2873",
        "authorized_official_credential": "MED"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "None Provided",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chickasha, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.