SKB Integrated Health Systems

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SKB INTEGRATED HEALTH SYSTEMS

Practice address

12302 S Yukon Ave Apt 2631
Glenpool, OK 74033-6645

Phone

(918) 402-3724

NPI assigned

Feb 4, 2020

Organization subpart

No

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

Authorized official

Name

Shameca Brown, CMIINPI 1477008878

Title

Owner

Phone

(918) 402-3724

Specialties & licenses 1

Addresses

Other names 1

• Mental Health Doing business as

Practitioners 1

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

• Shameca Brown

  • Case Manager/Care Coordinator
  • Tulsa, OK
  • NPI 1477008878
  NPD Authorized official

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1669004099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12302 S YUKON AVE APT 2631",
            "city": "GLENPOOL",
            "state": "OK",
            "postal_code": "740336645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12302 S YUKON AVE APT 2631",
            "city": "GLENPOOL",
            "state": "OK",
            "postal_code": "740336645",
            "telephone_number": "918-402-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKB INTEGRATED HEALTH SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SHAMECA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-402-3724",
        "authorized_official_credential": "CMII"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Glenpool, OK
• Providers in Glenpool, OK by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.