Active NPI
Briggs Therapeutic Intensive Child Devopment Services Inc.
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Edmond, OK
National Provider Identifier
1316228414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Legal business name
- BRIGGS THERAPEUTIC INTENSIVE CHILD DEVOPMENT SERVICES INC.
- Practice address
- 425 S Fretz Ave Ste E
Edmond, OK 73003-5568 - Phone
- (405) 844-2992
- NPI assigned
- Sep 1, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carina Mun Lan Bulock
- Title
- Teacher Assistant
- Phone
- (405) 512-9000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | Primary |
Addresses
Primary practice location
425 S Fretz Ave Ste E
Edmond, OK 73003-5568
Mailing address
425 Fretz Ave Ste E
Edmond, OK 73003-5568
Phone (405) 844-2992
National Provider Directory
National Provider DirectoryLocations
425 S Fretz Ave
Ste E
Edmond, OK 73003
Phone (405) 506-6703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314835200000",
"number": "1316228414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 FRETZ AVE STE E",
"city": "EDMOND",
"state": "OK",
"postal_code": "730035568",
"telephone_number": "405-844-2992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 S FRETZ AVE STE E",
"city": "EDMOND",
"state": "OK",
"postal_code": "730035568",
"telephone_number": "405-844-2992"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGGS THERAPEUTIC INTENSIVE CHILD DEVOPMENT SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-01",
"last_updated": "2011-09-01",
"status": "A",
"authorized_official_last_name": "BULOCK",
"authorized_official_first_name": "CARINA",
"authorized_official_middle_name": "MUN LAN",
"authorized_official_title_or_position": "TEACHER ASSISTANT",
"authorized_official_telephone_number": "405-512-9000"
},
"taxonomies": [
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"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 Sep 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.