NPIMap

Organization Active NPI

Payne County Youth Services, Inc.

  • Community/Behavioral Health Agency
  • Stillwater, OK
National Provider Identifier
1285780734
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PAYNE COUNTY YOUTH SERVICES, INC.
Practice address
2224 W 12TH Ave
Stillwater, OK 74074-5154
Phone
(405) 377-3380
Fax
(405) 377-3499
NPI assigned
Jan 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Tim W. Whaley
Title
Executive Director
Phone
(405) 377-3380

Specialties & licenses 1

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

Addresses

Primary practice location

2224 W 12TH Ave
Stillwater, OK 74074-5154

Mailing address

PO Box 2647
Stillwater, OK 74076-2647
Phone (405) 377-3380

National Provider Directory

National Provider Directory

Locations

2224 W 12th Ave
Stillwater, OK 74074
Phone (405) 377-3380

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285780734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2647",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740762647",
            "telephone_number": "405-377-3380",
            "fax_number": "405-377-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 W 12TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740745154",
            "telephone_number": "405-377-3380",
            "fax_number": "405-377-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYNE COUNTY YOUTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHALEY",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "405-377-3380",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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.