Yukon Pediatrics Behavioral Health L.L.C.

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

YUKON PEDIATRICS BEHAVIORAL HEALTH L.L.C.

Practice address

508 W Vandament Ave
Ste. 207
Yukon, OK 73099-4655

Phone

(405) 265-2655

Fax

(405) 350-0024

NPI assigned

Jun 17, 2016

Organization subpart

No

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

Authorized official

Name

Alecia Anne Hanes, M.D.

Title

President

Phone

(405) 265-2655

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466121600000",
    "number": "1528418795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 W VANDAMENT AVE",
            "address_2": "STE. 207",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730994655",
            "telephone_number": "405-265-2655",
            "fax_number": "405-350-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 W VANDAMENT AVE",
            "address_2": "STE. 207",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730994655",
            "telephone_number": "405-265-2655",
            "fax_number": "405-350-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUKON PEDIATRICS BEHAVIORAL HEALTH L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-17",
        "last_updated": "2016-06-17",
        "status": "A",
        "authorized_official_last_name": "HANES",
        "authorized_official_first_name": "ALECIA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-265-2655",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yukon Dental Center for Kids
• Yukon Dental Group PLLC
• Yukon Dentistry & Braces
• Yukon Maxillo-Facial Surgery Center
• Yukon Medical Imaging LLC
• Yukon Pharmacy Inc
• Yukon Public
• Yukon RX Inc.
• Yukon Wound Care and Home Health LLC
• Yukon Wound Care and Rehabilitation PLLC

• Adolescent and Children Mental Health Clinic/Center in Yukon, OK
• Providers in Yukon, OK by specialty
• Adolescent and Children Mental Health Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.