Organization Active NPI

MBH of Oklahoma, LLC

  • Psychiatric Residential Treatment Facility
  • Norman, OK
National Provider Identifier
1376933796
Registry record updated Jan 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
MBH OF OKLAHOMA, LLC
Practice address
3400 Deskin Dr
Norman, OK 73069-8295
Phone
(405) 701-8530
NPI assigned
Jan 24, 2015
Organization subpart
Yes
Parent organization
MBHSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 24, 2015

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

Authorized official

Name
Wesley Mason
Title
Ceo
Phone
(757) 434-1828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

3400 Deskin Dr
Norman, OK 73069-8295

Mailing address

19821 NW 2ND Ave Ste 396
Miami Gardens, FL 33169-3341
Phone (855) 847-7647

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1422057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422057600000",
    "number": "1376933796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19821 NW 2ND AVE STE 396",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331693341",
            "telephone_number": "855-847-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 DESKIN DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730698295",
            "telephone_number": "405-701-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBH OF OKLAHOMA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MBHS",
        "enumeration_date": "2015-01-24",
        "last_updated": "2015-01-24",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-434-1828"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2015; 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.