Occic

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

Y000013649 Issued in OK

Legal business name

OCCIC

Practice address

2625 General Pershing Boulevard
Oklahoma City, OK 73107

Phone

(405) 887-3190

NPI assigned

Dec 1, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Deneka Cain, TIVE

Title

Execudirector

Phone

(405) 945-6230

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1427423565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 GENERAL PERSHING BOULEVARD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73107",
            "telephone_number": "405-887-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 GENERAL PERSHING BOULEVARD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73107",
            "telephone_number": "405-887-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "DENEKA",
        "authorized_official_title_or_position": "EXECUDIRECTOR",
        "authorized_official_telephone_number": "14059456230",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "TIVE"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "OK",
            "license": "Y000013649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Health Centers of the Southwest, P.a. (Concentra Medical Center)

• Mental Illness Community Based Residential Treatment Facility in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Mental Illness Community Based Residential Treatment Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.