Organization Active NPI

North Oklahoma County Mental Health Center

  • Community/Behavioral Health Agency
  • Guthrie, OK
National Provider Identifier
1639438674
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NORTH OKLAHOMA COUNTY MENTAL HEALTH CENTER
Practice address
200 S Academy Rd
Guthrie, OK 73044-8727
Phone
(405) 858-2700
NPI assigned
May 11, 2012
Reactivated
Apr 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Authorized official

Name
Northcare Credentialing
Title
Credentialing
Phone
(405) 858-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

200 S Academy Rd
Guthrie, OK 73044-8727

Mailing address

2403 S Division St Ste C&D
Guthrie, OK 73044-6027

Other practice location 1

116 N Broad St Ste D
Guthrie, OK 73044-3363
Phone (405) 858-2700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040220000470 OK Part B Supplier - Clinic/Group Practice 6002701786 Receives reassigned benefits from 41 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Oklahoma City, OK; Guthrie, OK

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1911 E Rutgers Ave
Guthrie, OK 73044
Phone (405) 858-1700

2403 S Division St
Ste Cd
Guthrie, OK 73044
Phone (405) 260-3441

Practitioners & affiliated clinicians

Practitioners 3

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": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1639438674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 S DIVISION ST STE C&D",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730446027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S ACADEMY RD",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730448727",
            "telephone_number": "405-858-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 N Broad St Ste D",
            "address_purpose": "LOCATION",
            "city": "Guthrie",
            "state": "OK",
            "postal_code": "730443363",
            "country_code": "US",
            "telephone_number": "405-858-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH OKLAHOMA COUNTY MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "deactivation_date": "2023-03-31",
        "reactivation_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "CREDENTIALING",
        "authorized_official_first_name": "NORTHCARE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "405-858-2700"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guthrie, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.