Kerby Behavioral Development, PLLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

819 Issued in OK

Legal business name

KERBY BEHAVIORAL DEVELOPMENT, PLLC

Practice address

402 Janet St
Tahlequah, OK 74464-7028

Phone

(918) 718-9004

Fax

(918) 431-1180

NPI assigned

Sep 21, 2011

Organization subpart

No

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

Authorized official

Name

Cara J Kerby, LADC

Title

Ceo

Phone

(918) 718-9004

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1194008698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 613",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744650613",
            "telephone_number": "918-718-9004",
            "fax_number": "918-431-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 JANET ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744647028",
            "telephone_number": "918-718-9004",
            "fax_number": "918-431-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERBY BEHAVIORAL DEVELOPMENT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "KERBY",
        "authorized_official_first_name": "CARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-718-9004",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louissa Dawn Kelly
• Billie D Kennedy
• Elaine Kennedy, M.D.
• Nicollette Kennedy
• Teresa Wilie Kennison, MS, LPC
• Ryan Steven Kerr, OD
• Adrie Keys
• Diana Keys, ATC
• Jessica Keys, M.S., CCC-SLP
• Kelly Keys

• Addiction (Substance Use Disorder) Counselor in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Addiction (Substance Use Disorder) Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.