Organization Active NPI

Seasons of Change Behavioral Health Services, Inc

  • Case Management Agency
  • Edmond, OK
National Provider Identifier
1295276012
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SEASONS OF CHANGE BEHAVIORAL HEALTH SERVICES, INC
Practice address
1919 E 2ND St Apt 334
Edmond, OK 73034-6230
Phone
(405) 408-8445
NPI assigned
Mar 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Authorized official

Name
Kruti Sureshchandra Chaliawala
Title
Case Manager
Phone
(405) 408-8445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1919 E 2ND St Apt 334
Edmond, OK 73034-6230

Mailing address

1919 E 2ND St Apt 334
Edmond, OK 73034-6230
Phone (405) 408-8445

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1295276012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 E 2ND ST APT 334",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346230",
            "telephone_number": "405-408-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 E 2ND ST APT 334",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346230",
            "telephone_number": "405-408-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASONS OF CHANGE BEHAVIORAL HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "CHALIAWALA",
        "authorized_official_first_name": "KRUTI",
        "authorized_official_middle_name": "SURESHCHANDRA",
        "authorized_official_title_or_position": "CASE MANAGER",
        "authorized_official_telephone_number": "405-408-8445"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.