Shamrock Behavioral Health Services of Oklahoma, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SHAMROCK BEHAVIORAL HEALTH SERVICES OF OKLAHOMA, LLC

Practice address

1600 E US Highway 66
Suite #5
El Reno, OK 73036-5787

Phone

(405) 464-3279

NPI assigned

Nov 6, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Kelly Dale Groves, LPC, NCC

Title

Owner - Therapist

Phone

(405) 464-3279

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1265786651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12309 NEWGATE DR",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996426",
            "telephone_number": "405-464-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E US HIGHWAY 66",
            "address_2": "SUITE #5",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730365787",
            "telephone_number": "405-464-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMROCK BEHAVIORAL HEALTH SERVICES OF OKLAHOMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "GROVES",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER - THERAPIST",
        "authorized_official_telephone_number": "405-464-3279",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Dawn Sells
• Mary Ella Serawop, LPN
• Kathleen Elouise Sexton, LPN
• Stacie Lynette Seymour, BA
• Brian Ray Shafer
• Cassidy Sharp
• Christina Marie Sharp, M. ED.
• Lauren Melissa Sherry
• Anas Siddiqui, MD
• Martha Elizabeth Slayden

• Community/Behavioral Health Agency in El Reno, OK
• Providers in El Reno, 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 Nov 6, 2012; 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.