Organization Active NPI

Sheltered Workshop for Payne County, Inc.

  • Day Training/Habilitation Specialist
  • Stillwater, OK
National Provider Identifier
1275758310
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
Legal business name
SHELTERED WORKSHOP FOR PAYNE COUNTY, INC.
Practice address
516 Expo Circle South
Stillwater, OK 74074
Phone
(405) 377-0834
Fax
(405) 377-0860
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Deborah Tate, ED.D.
Title
Executive Director
Phone
(405) 377-0834

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 373H00000X OK Primary

Addresses

Primary practice location

516 Expo Circle South
Stillwater, OK 74074

Mailing address

PO Box 1509
Stillwater, OK 74076-1509
Phone (405) 377-0834

Other names 1

  • SWPC Other name

National Provider Directory

National Provider Directory
Tax ID family
Sheltered Workshop for Payne County Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275758310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1509",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740761509",
            "telephone_number": "405-377-0834",
            "fax_number": "405-377-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 EXPO CIRCLE SOUTH",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "74074",
            "telephone_number": "405-377-0834",
            "fax_number": "405-377-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELTERED WORKSHOP FOR PAYNE COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "405-377-0834",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SWPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Stillwater, OK

Sources for this page

  • 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.