NPIMap

Organization Active NPI

Spur Outpatient Services Dba Southwest Foster Care

  • Adult Mental Health Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1619208147
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
1465 Issued in OK
Legal business name
SPUR OUTPATIENT SERVICES DBA SOUTHWEST FOSTER CARE
Practice address
4801 N Classen Blvd Ste 135
Oklahoma City, OK 73118-4624
Phone
(405) 848-0011
Fax
(405) 848-2111
NPI assigned
Jan 22, 2010
Organization subpart
Yes
Parent organization
SOUTHWEST FOSTER CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Authorized official

Name
Ms. Stephanie Ann Brill, LCSW
Title
Lead Clinician
Phone
(405) 848-0011

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 1465 OK Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 1465 OK

Addresses

Primary practice location

4801 N Classen Blvd Ste 135
Oklahoma City, OK 73118-4624

Mailing address

4801 N. Classen Blvd
Suite 135
Oklahoma City, OK 73118-4624
Phone (405) 848-0011

Other names 1

  • SWFC dba SPUR Pilot Doing business as

National Provider Directory

National Provider Directory
Part of
Southwest Foster Care of Oklahoma Inc

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1619208147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 N. CLASSEN BLVD",
            "address_2": "SUITE 135",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731184624",
            "telephone_number": "405-848-0011",
            "fax_number": "405-848-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 N CLASSEN BLVD STE 135",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731184624",
            "telephone_number": "405-848-0011",
            "fax_number": "405-848-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPUR OUTPATIENT SERVICES DBA SOUTHWEST FOSTER CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWEST FOSTER CARE",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "BRILL",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "LEAD CLINICIAN",
        "authorized_official_telephone_number": "405-848-0011",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "OK",
            "license": "1465",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "OK",
            "license": "1465",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SWFC dba SPUR Pilot",
            "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 Jan 22, 2010; 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.