NPIMap

Organization Active NPI

Northwest Domestic Crisis Services, Inc

  • Community/Behavioral Health Agency
  • Woodward, OK
National Provider Identifier
1235358466
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
3694 Issued in OK
Legal business name
NORTHWEST DOMESTIC CRISIS SERVICES, INC
Practice address
1323 Kansas Ave
Same
Woodward, OK 73801-3011
Phone
(580) 256-1215
Fax
(580) 256-1245
NPI assigned
Apr 25, 2007
Last updated
Sep 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Mr. Paul D Fockler, BS
Title
Executive Director
Phone
(580) 256-1215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 3694 OK Primary

Addresses

Primary practice location

1323 Kansas Ave
Same
Woodward, OK 73801-3011

Mailing address

1323 Kansas Ave
Same
Woodward, OK 73801-3011
Phone (580) 256-1215

National Provider Directory

National Provider Directory
Tax ID family
Northwest Domestic Crisis Services Inc4 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": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1235358466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 KANSAS AVE",
            "address_2": "SAME",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738013011",
            "telephone_number": "580-256-1215",
            "fax_number": "580-256-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 KANSAS AVE",
            "address_2": "SAME",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738013011",
            "telephone_number": "580-256-1215",
            "fax_number": "580-256-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST DOMESTIC CRISIS SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "FOCKLER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "580-256-1215",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "3694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodward, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.