Organization Active NPI

Street School

  • Community/Behavioral Health Agency
  • Tulsa, OK
National Provider Identifier
1255704755
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
3870 Issued in OK
Legal business name
STREET SCHOOL
Practice address
1135 S Yale Ave
Tulsa, OK 74112-5342
Phone
(918) 833-9815
Fax
(918) 833-9858
NPI assigned
Nov 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Authorized official

Name
Jenny Lynn Fitzgerald, LCSW
Title
Lead Counsleor
Phone
(918) 833-9815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 3870 OK Primary

Addresses

Primary practice location

1135 S Yale Ave
Tulsa, OK 74112-5342

Mailing address

1135 S Yale Ave
Tulsa, OK 74112-5342
Phone (918) 833-9815

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1255704755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 S YALE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741125342",
            "telephone_number": "918-833-9815",
            "fax_number": "918-833-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 S YALE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741125342",
            "telephone_number": "918-833-9815",
            "fax_number": "918-833-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STREET SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "LEAD COUNSLEOR",
        "authorized_official_telephone_number": "918-833-9815",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "3870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 5, 2015; 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.