NPIMap

Organization Active NPI

Community Adolescent Rehabilitative Effort for Change Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oklahoma City, OK
National Provider Identifier
1578690137
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COMMUNITY ADOLESCENT REHABILITATIVE EFFORT FOR CHANGE INC
Doing business as
Care for Change
Practice address
3621 N Kelley Ave
Ste 100
Oklahoma City, OK 73111-4520
Phone
(405) 524-5525
Fax
(405) 524-5528
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Ms. Caletta McPherson
Title
Executive Director
Phone
(405) 524-5525

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 261QM0804X OK
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3621 N Kelley Ave
Ste 100
Oklahoma City, OK 73111-4520

Mailing address

3621 N Kelley Ave
Ste 100
Oklahoma City, OK 73111-4520
Phone (405) 524-5525

Other identifiers 1

IdentifierTypeStateIssuer
100742980AMedicaidOK

Other names 1

  • Care for Change Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Care for Change4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1578690137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 N KELLEY AVE",
            "address_2": "STE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731114520",
            "telephone_number": "405-524-5525",
            "fax_number": "405-524-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 N KELLEY AVE",
            "address_2": "STE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731114520",
            "telephone_number": "405-524-5525",
            "fax_number": "405-524-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ADOLESCENT REHABILITATIVE EFFORT FOR CHANGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "MCPHERSON",
        "authorized_official_first_name": "CALETTA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "405-524-5525",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "261QM0804X",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100742980A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care for Change",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.