Jtcmhc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

JTCMHC

Practice address

5403 Rumbough Rd Unit a
Fort Sill, OK 73503-3056

Phone

(580) 248-5780

NPI assigned

Oct 25, 2011

Organization subpart

No

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

Authorized official

Name

Tourgenia Greene

Title

Triage Specialist Assistant

Phone

(580) 248-5780

Specialties & licenses 1

Addresses

Tax ID family

Jim Taliaferro Community Mental Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jim Taliaferro Community Mental Health

  • Health Maintenance Organization
  • Lawton, OK
  • NPI 1245527977
  NPD tax ID

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1518243302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5403 RUMBOUGH RD UNIT A",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "735033056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5403 RUMBOUGH RD UNIT A",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "735033056",
            "telephone_number": "580-248-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JTCMHC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "TOURGENIA",
        "authorized_official_title_or_position": "TRIAGE SPECIALIST ASSISTANT",
        "authorized_official_telephone_number": "580-248-5780"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Jimenez, PA-C
• Debra Ann Johnson, LCSW
• Kaylee Johnson, DPT
• Tara Beth Johnson, MS, RD, LD
• Brandon Howard Jones, DDS
• Brad Kander, PHARMD
• W Mathew Kappel, LCSW
• Hendy Kho, PMHNP
• Marie Kimbel
• Michele Renee Kleinsorge, LCSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Fort Sill, OK
• Providers in Fort Sill, OK by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.

Verify at the official NPI Registry.