NPIMap

Organization Active NPI

Youth Services of Tulsa

  • Community/Behavioral Health Agency
  • Tulsa, OK
National Provider Identifier
1306905096
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
261QM0801X Issued in OK
Legal business name
YOUTH SERVICES OF TULSA
Practice address
311 S Madison Ave
Tulsa, OK 74120-3208
Phone
(918) 582-0061
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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

Authorized official

Name
Craig Henderson, LCSWNPI 1710218649
Title
Director
Phone
91895820061

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 261QM0801X OK Primary

Addresses

Primary practice location

311 S Madison Ave
Tulsa, OK 74120-3208

Mailing address

311 S Madison Ave
Tulsa, OK 74120-3208
Phone (918) 582-0061

Other identifiers 1

IdentifierTypeStateIssuer
100710510EMedicaidOK

National Provider Directory

National Provider Directory

Locations

311 S Madison Ave
Tulsa, OK 74120
Phone (918) 582-0061

Practitioners & affiliated clinicians

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1306905096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S MADISON AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741203208",
            "telephone_number": "918-582-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S MADISON AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741203208",
            "telephone_number": "918-582-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH SERVICES OF TULSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "91895820061",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "261QM0801X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100710510E",
            "state": "OK"
        }
    ],
    "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 Jul 17, 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.