Organization Active NPI

Creating Change

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Yukon, OK
National Provider Identifier
1609236041
Registry record updated Mar 5, 2016
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
CREATING CHANGE
Practice address
373 S Yukon Pkwy
Suite B
Yukon, OK 73099-4596
Phone
(405) 265-0986
NPI assigned
Feb 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2016

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

Authorized official

Name
Mr. Vinh The Nguyen
Title
Ceo
Phone
(405) 474-6741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

373 S Yukon Pkwy
Suite B
Yukon, OK 73099-4596

Mailing address

373 S Yukon Pkwy
Suite B
Yukon, OK 73099-4596
Phone (405) 265-0986

National Provider Directory

National Provider Directory

Locations

373 S Yukon Pkwy
Ste B
Yukon, OK 73099
Phone (405) 265-0986

NPI Registry JSON

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

{
    "created_epoch": "1456531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457136000000",
    "number": "1609236041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 S YUKON PKWY",
            "address_2": "SUITE B",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730994596",
            "telephone_number": "405-265-0986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 S YUKON PKWY",
            "address_2": "SUITE B",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730994596",
            "telephone_number": "405-265-0986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATING CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-27",
        "last_updated": "2016-03-05",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "VINH",
        "authorized_official_middle_name": "THE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-474-6741",
        "authorized_official_name_prefix": "Mr."
    },
    "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": []
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.