Specialized Outpatient Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SPECIALIZED OUTPATIENT SERVICES

Practice address

5208 Classen Cir
Oklahoma City, OK 73118-4429

Phone

(405) 810-1766

NPI assigned

May 7, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Cana Lynn Edwards, B.S.ADCIT

Title

Criminal Justice Program Manager

Phone

(405) 810-1766

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205048576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 CHETWOOD DR",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731151928",
            "telephone_number": "405-670-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5208 CLASSEN CIR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731184429",
            "telephone_number": "405-810-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED OUTPATIENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "CANA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CRIMINAL JUSTICE PROGRAM MANAGER",
        "authorized_official_telephone_number": "405-810-1766",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.S.ADCIT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.