Yco Clinton Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

3990 Issued in OK

Legal business name

YCO CLINTON INC

Practice address

120 S Madison Ave
Elk City, OK 73644-5741

Phone

(580) 660-5573

NPI assigned

Feb 10, 2010

Organization subpart

No

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

Authorized official

Name

Robert Lobato, MBA

Title

Cfo

Phone

(866) 926-6552

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachael Hernandez, MED, LPC, LADC

  • Mental Health Counselor
  • Oklahoma City, OK
  • NPI 1679890370
  NPD (past)

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1235461641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S MADISON AVE",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736445741",
            "telephone_number": "158-066-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S MADISON AVE",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736445741",
            "telephone_number": "580-660-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YCO CLINTON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-10",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "LOBATO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "18669266552",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "3990",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "734",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100744460",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cole Wayne Wootton, MD
• Madison Cael Wrather, O.D.
• Vanita R Wright
• Xpress Wellness, LLC
• Y.C. Ahn, M.D., P.L.L.C.
• Yco Clinton, Inc.
• Yco Tulsa, Inc
• Youthcare of Oklahoma
• Edward D Zdobylak, M.D.
• Lisa Denise Zimms, APRN

• Community/Behavioral Health Agency in Elk City, OK
• Providers in Elk City, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; 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.