NPIMap

Organization Active NPI

Landmark Recovery Outpatient Services, LLC

  • Adult Mental Health Clinic/Center
  • Tulsa, OK
National Provider Identifier
1194297341
Registry record updated Dec 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
LANDMARK RECOVERY OUTPATIENT SERVICES, LLC
Practice address
1805 E 15TH St
Tulsa, OK 74104-4610
Phone
(888) 448-0302
NPI assigned
Dec 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2018

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

Authorized official

Name
Jessica Prochut
Title
Credentialing Specialist
Phone
(480) 619-8556

Specialties & licenses 1

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

Addresses

Primary practice location

1805 E 15TH St
Tulsa, OK 74104-4610

Mailing address

4835 E Cactus Rd Ste 130
Scottsdale, AZ 85254-3545
Phone (888) 448-0302

Other names 1

  • Landmark Recovery of Tulsa Outpatient Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Landmark Recovery of Lexington4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545955200000",
    "number": "1194297341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835 E CACTUS RD STE 130",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543545",
            "telephone_number": "888-448-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 E 15TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044610",
            "telephone_number": "888-448-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK RECOVERY OUTPATIENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-28",
        "last_updated": "2018-12-28",
        "status": "A",
        "authorized_official_last_name": "PROCHUT",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "480-619-8556"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Landmark Recovery of Tulsa Outpatient Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; 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.