Organization Active NPI

Exceptional Minds Therapeutic Child Development Services Inc

  • Community/Behavioral Health Agency
  • Edmond, OK
National Provider Identifier
1376976852
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EXCEPTIONAL MINDS THERAPEUTIC CHILD DEVELOPMENT SERVICES INC
Practice address
501 S Coltrane Rd BLDG a
Edmond, OK 73034-6714
Phone
(405) 285-0433
NPI assigned
Aug 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Authorized official

Name
Darrick Wrenn
Title
Executive Director
Phone
(405) 285-0433

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

501 S Coltrane Rd BLDG a
Edmond, OK 73034-6714

Mailing address

501 S Coltrane Rd BLDG a
Edmond, OK 73034-6714
Phone (405) 285-0433

National Provider Directory

National Provider Directory

Locations

501 S Coltrane Rd
Ste A
Edmond, OK 73034
Phone (405) 257-0223

NPI Registry JSON

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1376976852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S COLTRANE RD BLDG A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346714",
            "telephone_number": "405-285-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S COLTRANE RD BLDG A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346714",
            "telephone_number": "405-285-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONAL MINDS THERAPEUTIC CHILD DEVELOPMENT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-19",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "WRENN",
        "authorized_official_first_name": "DARRICK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "405-285-0433"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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 3, 2013; 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.