NPIMap

Organization Active NPI

SSM Health Care of Oklahoma Inc

Doing business as St Anthony Physicians Behavioral Health Clinic

  • Social Worker
  • Oklahoma City, OK
National Provider Identifier
1639689375
Registry record updated Oct 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
SSM HEALTH CARE OF OKLAHOMA INC
Doing business as
St Anthony Physicians Behavioral Health Clinic
Practice address
608 NW 9TH St Ste 1100
Oklahoma City, OK 73102-1015
Phone
(405) 231-3000
Fax
(405) 231-3073
NPI assigned
Oct 9, 2017
Last updated
Oct 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2017

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

Authorized official

Name
Crystal L Pena
Title
Insurace Credentialing Specialist
Phone
(405) 272-7452

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X OK Primary

Addresses

Primary practice location

608 NW 9TH St Ste 1100
Oklahoma City, OK 73102-1015

Mailing address

608 NW 9TH St Ste 1100
Oklahoma City, OK 73102-1015
Phone (405) 231-3000

Other names 1

  • St Anthony Physicians Behavioral Health Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
SSM Healthcare of Ok in56 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507507200000",
    "number": "1639689375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 NW 9TH ST STE 1100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021015",
            "telephone_number": "405-231-3000",
            "fax_number": "405-231-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 NW 9TH ST STE 1100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021015",
            "telephone_number": "405-231-3000",
            "fax_number": "405-231-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSM HEALTH CARE OF OKLAHOMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-09",
        "last_updated": "2017-10-09",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "INSURACE CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "405-272-7452"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Anthony Physicians Behavioral Health Clinic",
            "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 Oct 9, 2017; 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.