NPIMap

Organization Active NPI

Family Transitions LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oklahoma City, OK
National Provider Identifier
1639207202
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
200076090A Issued in OK
Legal business name
FAMILY TRANSITIONS LLC
Practice address
5005 N Pennsylvania Ave
Suite 103
Oklahoma City, OK 73112-8886
Phone
(405) 753-4269
Fax
(405) 753-4270
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Authorized official

Name
Mr. Michael G Braun
Title
Agency Director
Phone
(405) 753-4269

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 200076090A OK Primary

Addresses

Primary practice location

5005 N Pennsylvania Ave
Suite 103
Oklahoma City, OK 73112-8886

Mailing address

5005 N Pennsylvania Ave
Suite 103
Oklahoma City, OK 73112-8886
Phone (405) 753-4269

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160920002878 OK Part B Supplier - Clinic/Group Practice 8527355429 Receives reassigned benefits from 1 practitioner
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory
Tax ID family
Family Transitions LLC2 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.

Locations

4024 N Lincoln Blvd
Ste 2
Oklahoma City, OK 73105
Phone (405) 650-9623

Practitioners & affiliated clinicians

Practitioners 8

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": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1639207202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 N PENNSYLVANIA AVE",
            "address_2": "SUITE 103",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731128886",
            "telephone_number": "405-753-4269",
            "fax_number": "405-753-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 N PENNSYLVANIA AVE",
            "address_2": "SUITE 103",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731128886",
            "telephone_number": "405-753-4269",
            "fax_number": "405-753-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY TRANSITIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "BRAUN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "405-753-4269",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OK",
            "license": "200076090A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.