NPIMap

Organization Active NPI

Family and Youth Intervention Services

  • Community/Behavioral Health Agency
  • Tulsa, OK
National Provider Identifier
1649519109
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FAMILY AND YOUTH INTERVENTION SERVICES
Practice address
5555 S Lewis Ave
Tulsa, OK 74105-7104
Phone
(918) 779-4556
Fax
(918) 895-6917
NPI assigned
Feb 4, 2013
Last updated
Feb 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Authorized official

Name
Mr. Michael Baines
Title
Program Director
Phone
(918) 852-4695

Specialties & licenses 1

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

Addresses

Primary practice location

5555 S Lewis Ave
Tulsa, OK 74105-7104

Mailing address

2624 N Quincy Ave
Tulsa, OK 74106-2604
Phone (918) 949-1404

National Provider Directory

National Provider Directory

Locations

5555 S Lewis Ave
Tulsa, OK 74105
Phone (918) 779-4556

Practitioners & affiliated clinicians

Practitioners 60

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 60

NPI Registry JSON

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1649519109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 N QUINCY AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741062604",
            "telephone_number": "918-949-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 S LEWIS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741057104",
            "telephone_number": "918-779-4556",
            "fax_number": "918-895-6917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY AND YOUTH INTERVENTION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "BAINES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "918-852-4695",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.